Individual provider Active NPI

Jennifer Alexandra Arriaran, BA

  • Behavior Technician
  • Manassas, VA
National Provider Identifier
1215688775
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-199694 Issued in VA
Practice address
7771 Ashton Ave
Manassas, VA 20109-2879
Phone
(703) 492-2686
NPI assigned
Jan 15, 2022
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-199694 VA Primary

Addresses

Primary practice location

7771 Ashton Ave
Manassas, VA 20109-2879

Mailing address

8223 Ramseur PL
Manassas, VA 20109-1911
Phone (571) 276-9986

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-22-199694VAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1215688775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 RAMSEUR PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201091911",
            "telephone_number": "571-276-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 ASHTON AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092879",
            "telephone_number": "703-492-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIARAN",
        "first_name": "JENNIFER",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-22-199694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.