Amanda Eliasoph

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

14386 Flourcastle CT
Centreville, VA 20120-3349

Phone

(703) 853-3440

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1407417579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14386 FLOURCASTLE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203349",
            "telephone_number": "703-853-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14386 FLOURCASTLE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203349",
            "telephone_number": "703-853-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASOPH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Ruparelia & Muhammad - Cascades Centreville, PLLC
• Dulles Dental Group LLC
• Marilyn L. Durbin, LCSW
• Ventiane Grace Ebang, PHARMD
• Damita Edwards, DDS
• Endoexcelc PLLC (Endodontic Excellence of Centreville)
• Ens Medical Transport LLC.
• Maura Elser Eriksson, MD
• Wayne Richard Eriksson, MD
• Maria C Espinal

• Behavior Analyst in Centreville, VA
• Providers in Centreville, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.