Active NPI
Kathleen Coffman, RBT
- Behavior Technician
- Manassas, VA
National Provider Identifier
1265219927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-255879
- Practice address
- 7960 Donegan Dr Ste 217
Manassas, VA 20109-8236 - Phone
- (703) 392-6166
- Fax
- (703) 392-3885
- NPI assigned
- Sep 14, 2023
- 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 Technician | 106S00000X | 23-255879 | VA | Primary |
Addresses
Primary practice location
7960 Donegan Dr Ste 217
Manassas, VA 20109-8236
Mailing address
7960 Donegan Dr Ste 217
Manassas, VA 20109-8236
Phone (703) 392-6166
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 |
|---|---|---|---|
| 23-255879 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leap Ahead, Inc. | 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.
-
- Early Intervention Provider Agency
- Manassas, VA
- NPI 1235381633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1265219927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 DONEGAN DR STE 217",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098236",
"telephone_number": "703-392-6166",
"fax_number": "703-392-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 DONEGAN DR STE 217",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098236",
"telephone_number": "703-392-6166",
"fax_number": "703-392-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "KATHLEEN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "23-255879",
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.