Individual provider Active NPI

Anh-Tram Nguyen Newcomb, BCBA

  • Behavior Analyst
  • Fredericksburg, VA
National Provider Identifier
1235600677
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47770
Practice address
4412 Lafayette Blvd
Fredericksburg, VA 22408-4237
Phone
(540) 479-3889
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-72747 VA
Behavior Analyst 103K00000X 1-21-47770 Primary

Addresses

Primary practice location

4412 Lafayette Blvd
Fredericksburg, VA 22408-4237

Mailing address

5500 Akridge CT
Fairfax, VA 22032-4041
Phone (571) 296-0108

Other practice location 1

2500 Hunter Pl Ste 101
Woodbridge, VA 22192-3937
Phone (571) 402-7499

Other practice location 2

10510 Spotsylvania Ave
Fredericksburg, VA 22408-2693
Phone (540) 479-3908

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-18-72747VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Autism Services, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1235600677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 AKRIDGE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220324041",
            "telephone_number": "571-296-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084237",
            "telephone_number": "540-479-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Hunter Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221923937",
            "country_code": "US",
            "telephone_number": "571-402-7499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10510 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082693",
            "country_code": "US",
            "telephone_number": "540-479-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "ANH-TRAM",
        "middle_name": "NGUYEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-18-72747",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-47770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.