Individual provider Active NPI

Dezira Dewhurst, B.S., BCABA, LABA

  • Assistant Behavior Analyst
  • Manassas, VA
National Provider Identifier
1437686813
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000336 Issued in VA
Practice address
7960 Donegan Dr Ste 217
Manassas, VA 20109-8236
Phone
(703) 392-6166
Fax
(703) 392-6166
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0134000336 VA Primary

Addresses

Primary practice location

7960 Donegan Dr Ste 217
Manassas, VA 20109-8236

Mailing address

7960 Donegan Dr Ste 217
Manassas, VA 20109-8236
Phone (703) 479-6105

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
0134000336VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Ahead, Inc. 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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1437686813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR STE 217",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-479-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR STE 217",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-392-6166",
            "fax_number": "703-392-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHURST",
        "first_name": "DEZIRA",
        "credential": "B.S., BCABA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.