Active NPI
Jessica Serrao
- Behavior Analyst
- Stafford, VA
National Provider Identifier
1265045280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001540
- Practice address
- 231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603 - Phone
- (540) 699-2381
- Fax
- (540) 301-2788
- NPI assigned
- Aug 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001540 | VA | Primary |
Addresses
Primary practice location
231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603
Mailing address
231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603
Phone (540) 699-2381
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 |
|---|---|---|---|
| 0133001540 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford Early Autism Services | 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.
-
- Behavior Analyst
- Stafford, VA
- NPI 1790209526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1265045280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 GARRISONVILLE RD STE 205",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541603",
"telephone_number": "540-699-2381",
"fax_number": "540-301-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 GARRISONVILLE RD STE 205",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541603",
"telephone_number": "540-699-2381",
"fax_number": "540-301-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRAO",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.