Active NPI
Maryam Jafardokht
- Behavior Analyst
- Vienna, VA
National Provider Identifier
1306437686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2235 Cedar LN Ste 102
Vienna, VA 22182-5247 - Phone
- (703) 556-4888
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0134000358 | VA | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2235 Cedar LN Ste 102
Vienna, VA 22182-5247
Mailing address
1721 Gosnell Rd Apt 203
Vienna, VA 22182-2548
Phone (703) 388-6802
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 |
|---|---|---|---|
| 0134000358 | VA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1306437686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 GOSNELL RD APT 203",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822548",
"telephone_number": "703-388-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 CEDAR LN STE 102",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825247",
"telephone_number": "703-556-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFARDOKHT",
"first_name": "MARYAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "0134000358",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.