Anosha Baig

Individual provider Active NPI Behavior Technician · Alexandria, VA

NPI 1184132003 · NPPES record last updated Mar 26, 2018

Key facts

NPI
1184132003
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6180 Grovedale CT Ste 200
Alexandria, VA 22310-2552
Phone
(866) 380-3419
Fax
(866) 380-9125
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, LLC Past Accepting new patients
Spectrum Transformation Group, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6180 Grovedale CT Ste 200
Alexandria, VA 22310-2552

Mailing address

6180 Grovedale CT Ste 200
Alexandria, VA 22310-2552
Phone (866) 380-3419

Other practice location 1

11311 Business Center Dr Ste C
North Chesterfield, VA 23236-3199
Phone (804) 378-6141

Other providers in Alexandria, VA

All providers in Alexandria, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.