Individual provider Active NPI

Daria Ditzler

  • Behavior Analyst
  • McLean, VA
National Provider Identifier
1346758109
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133003694 Issued in VA
Practice address
1765 Greensboro Station PL
MC Lean, VA 22102-3467
Phone
(301) 246-2351
Fax
(317) 936-1241
NPI assigned
Jan 15, 2018
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 0133003694 VA Primary

Addresses

Primary practice location

1765 Greensboro Station PL
MC Lean, VA 22102-3467

Mailing address

1765 Greensboro Station PL
MC Lean, VA 22102-3467
Phone (301) 246-2351

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

LicenseStateTypeSpecialty
0133003694VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care ABA VA LLC Behavior Analyst PastSince Sep 25, 2022 Accepting new patients
Reaching Potentials VA, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1346758109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023467",
            "telephone_number": "301-246-2351",
            "fax_number": "317-936-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023467",
            "telephone_number": "301-246-2351",
            "fax_number": "317-936-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITZLER",
        "first_name": "DARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.