Individual provider Active NPI

Andrea Stephens

  • Behavior Analyst
  • Woodbridge, VA
National Provider Identifier
1316400500
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
14445 Potomac Mills Rd
Woodbridge, VA 22192-6807
Phone
(954) 218-6510
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

14445 Potomac Mills Rd
Woodbridge, VA 22192-6807

Mailing address

12527 Quarterhorse LN
Woodbridge, VA 22192-6371
Phone (808) 542-6302

Other practice location 1

3771 Stefani Rd
Cantonment, FL 32533
Phone (850) 607-6910

Other practice location 2

16636 Holy Cross Ln
Saint Robert, MO 65584-7852
Phone (808) 542-6302

Other practice location 3

760 Memorial Pkwy
Phillipsburg, NJ 08865-2750
Phone (908) 677-6390

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fly Wheel Center VA LLC Behavior Analyst Past 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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1316400500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12527 QUARTERHORSE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926371",
            "telephone_number": "808-542-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 POTOMAC MILLS RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926807",
            "telephone_number": "954-218-6510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3771 Stefani Rd",
            "address_purpose": "LOCATION",
            "city": "Cantonment",
            "state": "FL",
            "postal_code": "32533",
            "country_code": "US",
            "telephone_number": "850-607-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16636 Holy Cross Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Robert",
            "state": "MO",
            "postal_code": "655847852",
            "country_code": "US",
            "telephone_number": "808-542-6302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652750",
            "country_code": "US",
            "telephone_number": "908-677-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.