Active NPI
Autism Therapy Foundation LLC
- Assistant Behavior Analyst
- Fairfax, VA
National Provider Identifier
1184413247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Legal business name
- AUTISM THERAPY FOUNDATION LLC
- Doing business as
- Autism Therapy Foundation LLC
- Practice address
- 5077 Hazel Ferguson Dr
Fairfax, VA 22030-6552 - Phone
- (703) 286-9878
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Mateen Yousufzai
- Title
- Behavior Analyst
- Phone
- (703) 286-9878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | NU | Primary |
Addresses
Primary practice location
5077 Hazel Ferguson Dr
Fairfax, VA 22030-6552
Mailing address
5077 Hazel Ferguson Dr
Fairfax, VA 22030-6552
Phone (703) 286-9878
Other names 1
- AUTISM THERAPY FOUNDATION LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Assistant Behavior Analyst
- Centreville, VA
- NPI 1669021820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1184413247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5077 HAZEL FERGUSON DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306552",
"telephone_number": "703-286-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5077 HAZEL FERGUSON DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306552",
"telephone_number": "703-286-9878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM THERAPY FOUNDATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "YOUSUFZAI",
"authorized_official_first_name": "ABDUL",
"authorized_official_middle_name": "MATEEN",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "703-286-9878"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AUTISM THERAPY FOUNDATION LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.