Jeannette Cazares Shooshtari

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002136 Issued in VA

Practice address

3660 Wheeler Ave Ste a
Alexandria, VA 22304-6403

Phone

(703) 870-3380

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Basics, LLC

  • Behavior Analyst
  • Alexandria, VA
  • NPI 1689988230
  NPD (past)
• Comprehensive Autism Partnership, Inc.

  • Behavior Analyst
  • Fredericksburg, VA
  • NPI 1861720773
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1215409156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE # 353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "703-870-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 WHEELER AVE STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046403",
            "telephone_number": "703-870-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Washigton St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22314",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144512",
            "country_code": "US",
            "telephone_number": "703-870-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOSHTARI",
        "first_name": "JEANNETTE",
        "middle_name": "CAZARES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016807140002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Shively, BSN
• Lindsay Shmatov, FNP
• Rokhsareh Sarah Shoaee
• Shobha Chidambaram, MD, PC
• Leah Shoemaker, PT
• Eugene A. Shooter, Jr., PH.D.
• Erika Shor, CRNA
• Sarah Kathleen Shores
• Jennifer Shotlander, LCSW
• Shuaib Medical Center

• Behavior Analyst in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.