Active NPI
Tandra Wesby
- Behavior Technician
- Herndon, VA
National Provider Identifier
1376204552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-177113
- Practice address
- 435 Carlisle Dr
Herndon, VA 20170-5614 - Phone
- (254) 640-6438
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
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 | RBT-21-177113 | Primary |
Addresses
Primary practice location
435 Carlisle Dr
Herndon, VA 20170-5614
Mailing address
435 Carlisle Dr
Herndon, VA 20170-5614
Phone (254) 640-6438
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | billing@newdirectionsaba.com | Direct | New Directions ABA LLC |
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": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1376204552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705614",
"telephone_number": "254-640-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CARLISLE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705614",
"telephone_number": "254-640-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESBY",
"first_name": "TANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-21-177113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "billing@newdirectionsaba.com",
"affiliation": "Y",
"endpointDescription": "admin",
"affiliationName": "New Directions ABA LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "435 Carlisle Dr",
"city": "Herndon",
"state": "VA",
"country_code": "US",
"postal_code": "201705614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.