Individual provider Active NPI

Brieanna Rollocks

  • Assistant Behavior Analyst
  • Herndon, VA
National Provider Identifier
1285417550
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000472 Issued in VA
Practice address
131 Elden St Ste 302
Herndon, VA 20170-4851
Phone
(703) 496-4371
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0134000472 VA Primary

Addresses

Primary practice location

131 Elden St Ste 302
Herndon, VA 20170-4851

Mailing address

1537 Lincoln Way Apt 303
MC Lean, VA 22102-5824
Phone (908) 220-7577

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
0134000472VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism First, LLC Assistant Behavior Analyst PastSince Aug 27, 2023 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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1285417550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 LINCOLN WAY APT 303",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025824",
            "telephone_number": "908-220-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 302",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704851",
            "telephone_number": "703-496-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLOCKS",
        "first_name": "BRIEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.