Active NPI
Avani Patel, BCBA, LBA
- Behavior Analyst
- Fairfax, VA
National Provider Identifier
1215596754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133002830
- Practice address
- 11211 Waples Mill Rd
Fairfax, VA 22030-7406 - Phone
- (571) 241-8557
- Fax
- (571) 303-1835
- NPI assigned
- Jun 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0134000321 | VA | |
| Behavior Analyst | 103K00000X | 0133002830 | VA | Primary |
Addresses
Primary practice location
11211 Waples Mill Rd
Fairfax, VA 22030-7406
Mailing address
11211 Waples Mill Rd
Fairfax, VA 22030-7406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133002830 | VA | MD | Behavioral Analyst |
| 0134000321 | VA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1215596754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307406",
"telephone_number": "571-241-8557",
"fax_number": "571-303-1835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AVANI",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-09",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "0134000321",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002830",
"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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.