Individual provider Active NPI

Xavier Carlos Butler

  • Behavior Analyst
  • Washington, DC
National Provider Identifier
1407429962
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57970
Practice address
3321 Georgia Ave NW Unit 3026
Washington, DC 20010-7501
Phone
(202) 880-6167
Fax
(771) 212-0485
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X
Behavior Analyst 103K00000X 1-22-57970 Primary

Addresses

Primary practice location

3321 Georgia Ave NW Unit 3026
Washington, DC 20010-7501

Mailing address

3321 Georgia Ave NW Unit 3026
Washington, DC 20010-7501
Phone (202) 880-6167

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

OrganizationSpecialtyStatusNew patients
Balance and Behavior LLC Behavior Analyst CurrentSince Mar 27, 2022 Accepting new patients
Balance and Behavior LLC Behavior Analyst CurrentSince Jan 22, 2023 Accepting new patients

Locations

996 Maine Ave SW
Ste 804
Washington, DC 20024

3321 Georgia Ave NW
Unit 3026
Washington, DC 20010
Phone (202) 880-6167

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1407429962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 GEORGIA AVE NW UNIT 3026",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200107501",
            "telephone_number": "202-880-6167",
            "fax_number": "771-212-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 GEORGIA AVE NW UNIT 3026",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200107501",
            "telephone_number": "202-880-6167",
            "fax_number": "771-212-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "XAVIER",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-57970",
            "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 Dec 2, 2024; 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.