Individual provider Active NPI

Leila Lissette Potts, MS, BCBA, LBA

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1336676451
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133003905 Issued in VA
Practice address
212 S Washington St
Alexandria, VA 22314-3626
Phone
(703) 870-3880
Fax
(775) 392-1245
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133003905 VA Primary

Addresses

Primary practice location

212 S Washington St
Alexandria, VA 22314-3626

Mailing address

2423 S Orange Ave
Orlando, FL 32806-4543
Phone (540) 922-1110

Other practice location 1

2805 Duke St
Alexandria, VA 22314-4512
Phone (703) 870-3880

Other practice location 2

2423 S Orange Ave
Orlando, FL 32806-4543
Phone (540) 922-1110

Other practice location 3

3660 Wheeler Ave
Alexandria, VA 22304-6403
Phone (703) 870-3880

Other identifiers 1

IdentifierTypeStateIssuer
30018042700001MedicaidVA

Other names 1

  • Leila Lissette Salas 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0133003905VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1336676451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "540-922-1110",
            "fax_number": "775-392-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143626",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144512",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2423 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064543",
            "country_code": "US",
            "telephone_number": "540-922-1110",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Wheeler Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223046403",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "LEILA",
        "middle_name": "LISSETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018042700001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "SALAS",
            "middle_name": "LISSETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.