Active NPI
Abdelaziz Abdela Hassen
- Behavior Technician
- Washington, DC
National Provider Identifier
1366105371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-187558
- Practice address
- 403 1/2 Seward SQ SE
Washington, DC 20003-1113 - Phone
- (443) 690-5857
- NPI assigned
- Oct 17, 2021
- 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 Technician | 106S00000X | 21-187558 | Primary |
Addresses
Primary practice location
403 1/2 Seward SQ SE
Washington, DC 20003-1113
Mailing address
1700 South Garfield St Apt 204
1700 South Garfield St
Arlington, VA 22204
Phone (703) 419-5799
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Behavioral Health | Behavior Technician | 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": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1366105371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SOUTH GARFIELD ST APT 204",
"address_2": "1700 SOUTH GARFIELD ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22204",
"telephone_number": "703-419-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 1/2 SEWARD SQ SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200031113",
"telephone_number": "443-690-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSEN",
"first_name": "ABDELAZIZ",
"middle_name": "ABDELA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-17",
"last_updated": "2021-10-17",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "21-187558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.