Lahore Khan Mangal, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-136359 Issued in VA

Practice address

1964 Gallows Rd Ste 302
Vienna, VA 22182-3814

Phone

(703) 508-6162

NPI assigned

Jan 27, 2021

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Caravan ABA Therapy LLC

  • Behavior Analyst
  • Stafford, VA
  • NPI 1225996705
  NPD
• Tiny Steps ABA LLC

  dba Autism Care Therapy

  • Behavior Analyst
  • Stafford, VA
  • NPI 1700615697
  NPD
• Autism Therapy, LLC

  • Community/Behavioral Health Agency
  • Centreville, VA
  • NPI 1730839887
  NPD (past)
• Behavioral Expectations LLC

  • Behavior Analyst
  • Centreville, VA
  • NPI 1306455423
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1194316885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 AZTEC PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921817",
            "telephone_number": "540-764-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 GALLOWS RD STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823814",
            "telephone_number": "703-508-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAL",
        "first_name": "LAHORE",
        "middle_name": "KHAN",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-20-136359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humera E Malik, M.D.
• Leo Alphonsus San Jose Malinao, PT, DPT
• Jeffrey Malka, M.D.
• Rain Manarchuck, RBT
• Mary Florence Mandell, LICSW
• Bruce Manise, ED.M, M.A.
• Ataharul H Mannan, DO
• Lamin Shekie Mansaray
• Manus Center, PC
• Marbrid, LLC

• Behavior Technician in Vienna, VA
• Providers in Vienna, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.