Active NPI
Michelle Mendoza
- Behavior Technician
- Alexandria, VA
National Provider Identifier
1174252373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-228666
- Practice address
- 5290 Shawnee Rd Ste 220
Alexandria, VA 22312-2381 - Phone
- (703) 539-8616
- NPI assigned
- Jun 6, 2022
- Last updated
- Jan 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | 22-228666 | MD | Primary |
Addresses
Primary practice location
5290 Shawnee Rd Ste 220
Alexandria, VA 22312-2381
Mailing address
5290 Shawnee Rd Ste 220
Alexandria, VA 22312-2381
Phone (703) 539-8616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-228666 | MD | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storybook ABA MD LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736035200000",
"number": "1174252373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5290 SHAWNEE RD STE 220",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122381",
"telephone_number": "703-539-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 SHAWNEE RD STE 220",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122381",
"telephone_number": "703-539-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "22-228666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.