Organization Active NPI

ABA Center of Virginia

  • Behavior Analyst
  • Fairfax, VA
National Provider Identifier
1194234625
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA CENTER OF VIRGINIA
Practice address
4969 Vail Ridge LN
Fairfax, VA 22030-6646
Phone
(571) 418-0389
Fax
(703) 991-7651
NPI assigned
Sep 27, 2017
Last updated
Sep 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andres Alvarado
Title
Owner
Phone
(571) 418-0389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4969 Vail Ridge LN
Fairfax, VA 22030-6646

Mailing address

4969 Vail Ridge LN
Fairfax, VA 22030-6646

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1194234625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 VAIL RIDGE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 VAIL RIDGE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306646",
            "telephone_number": "571-418-0389",
            "fax_number": "703-991-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CENTER OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-418-0389"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.