Gina-Marie An, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133003149 Issued in VA

Practice address

10468 Investors PL Ste B
Spotsylvania, VA 22553-1749

Phone

(757) 384-3248

Fax

(540) 301-8315

NPI assigned

Jul 12, 2022

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Driven Behavioral Support LLC

  • Behavior Analyst
  • Spotsylvania, VA
  • NPI 1831732486
  NPD
• Supportive Care ABA VA LLC

  • Community/Behavioral Health Agency
  • McLean, VA
  • NPI 1053034231

  Behavior Analyst

  NPD (past)
• Supportive Care ABA in LLC

  • Behavior Analyst
  • Greenwood, IN
  • NPI 1003539305
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1306570742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "GINA-MARIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundant Care Home Health LLC
• Active Again Therapy and Wellness PLLC
• Ahmadiyar & Motamedi, IV, PLLC (Advanced Oral & Facial Surgery, Inc.)
• Allied Kingdom Ambassadors LLC
• Edith Alsop
• Marie T Anderson, LPC
• Apexcare Home Health LLC
• Ariel Home Healthcare Solutions LLC
• Bernice Adjei Asante
• David Asante Jr., NP

• Behavior Analyst in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.