Individual provider Active NPI

Julie Cregan Dwyer-Allen, BCBA

  • Behavior Analyst
  • Leesburg, VA
National Provider Identifier
1285913160
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2617
Practice address
142 Hampshire SQ SW
Leesburg, VA 20175-5059
Phone
(703) 678-7349
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000376 VA
Behavior Analyst 103K00000X 1-05-2617 Primary

Addresses

Primary practice location

142 Hampshire SQ SW
Leesburg, VA 20175-5059

Mailing address

142 Hampshire SQ SW
Leesburg, VA 20175-5059
Phone (703) 678-7349

Other practice location 1

10303 Appalachian Cir
#311
Oakton, VA 22124-2767
Phone (703) 678-7349

Other names 1

  • Ms. Julie Cregan Allen Former name

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
0133000376VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285913160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HAMPSHIRE SQ SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755059",
            "telephone_number": "703-678-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HAMPSHIRE SQ SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755059",
            "telephone_number": "703-678-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10303 Appalachian Cir",
            "address_2": "#311",
            "address_purpose": "LOCATION",
            "city": "Oakton",
            "state": "VA",
            "postal_code": "221242767",
            "country_code": "US",
            "telephone_number": "703-678-7349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER-ALLEN",
        "first_name": "JULIE",
        "middle_name": "CREGAN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000376",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ALLEN",
            "middle_name": "CREGAN",
            "prefix": "MS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.