Active NPI
Inamullah Khoshal
- Behavior Analyst
- Woodbridge, VA
National Provider Identifier
1326767401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12531 Clipper Dr
Woodbridge, VA 22192-2518 - Phone
- (571) 619-0506
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
12531 Clipper Dr
Woodbridge, VA 22192-2518
Mailing address
7110 Crown Jewels CT
Fredericksburg, VA 22407-8583
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | inamullah.khoshal@autismbts.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1326767401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 CROWN JEWELS CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224078583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12531 CLIPPER DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922518",
"telephone_number": "571-619-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHAL",
"first_name": "INAMULLAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "inamullah.khoshal@autismbts.com",
"affiliation": "N",
"address_1": "12531 Clipper Dr",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "221922518",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 23, 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.