Individual provider Active NPI

Karma Yanjin Gurung, BCBA

  • Behavior Analyst
  • Reston, VA
National Provider Identifier
1407691090
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-73685 Issued in VA
Practice address
12330 Pinecrest Rd Ste 100
Reston, VA 20191-1656
Phone
(703) 574-4964
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-73685 VA Primary

Addresses

Primary practice location

12330 Pinecrest Rd Ste 100
Reston, VA 20191-1656

Mailing address

12952C Grays Pointe Rd
Fairfax, VA 22033-2154
Phone (304) 894-4313

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1407691090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952C GRAYS POINTE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332154",
            "telephone_number": "304-894-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 PINECREST RD STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911656",
            "telephone_number": "703-574-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUNG",
        "first_name": "KARMA",
        "middle_name": "YANJIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-24-73685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.