Individual provider Active NPI

Etheldreda Tsashua, QMHP,RBT

  • Behavior Analyst
  • Manassas, VA
National Provider Identifier
1285224642
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7771 Ashton Ave
Manassas, VA 20109-2879
Phone
(703) 493-2686
Fax
(866) 499-8840
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X VA
Behavior Analyst 103K00000X VA Primary

Addresses

Primary practice location

7771 Ashton Ave
Manassas, VA 20109-2879

Mailing address

6263 Clay Pipe CT
Centreville, VA 20121-5619
Phone (202) 403-1819

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

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1285224642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 CLAY PIPE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215619",
            "telephone_number": "202-403-1819"
        },
        {
            "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": "703-493-2686",
            "fax_number": "866-499-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSASHUA",
        "first_name": "ETHELDREDA",
        "name_prefix": "Miss",
        "credential": "QMHP,RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": null,
            "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 20, 2021; 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.