Individual provider Active NPI

Ezra Emmanuel Ostlund

  • Behavior Technician
  • Alexandria, VA
National Provider Identifier
1215865670
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-408959 Issued in VA
Practice address
1451 Belle Haven Rd Ste 410
Alexandria, VA 22307-1201
Phone
(703) 634-3532
NPI assigned
May 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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-25-408959 VA Primary

Addresses

Primary practice location

1451 Belle Haven Rd Ste 410
Alexandria, VA 22307-1201

Mailing address

4321 Gypsy CT
Alexandria, VA 22310-1450

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

LicenseStateTypeSpecialty
RBT-25-408959VAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1215865670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 GYPSY CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 410",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-634-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLUND",
        "first_name": "EZRA",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-25-408959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.