Jordyn Beasley
Individual provider Active NPI Behavior Analyst · Manassas Park, VA
NPI 1447858600 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1447858600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 0133004733 (VA)
- Practice address
- 516A Tassita LN
Manassas Park, VA 20111-2700 - Phone
- (308) 258-2311
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133004733 | VA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133004733 | VA | Yes |
Addresses
Primary practice location
516A Tassita LN
Manassas Park, VA 20111-2700
Mailing address
516A Tassita LN
Manassas Park, VA 20111-2700
Phone (308) 258-2311
Other providers in Manassas Park, VA
- Sara Ayasso
- Bethany Cheryl Bagnell
- Mohammad Azlan Baig
- Bansolt LLC
- Colleen Graydon Basso
- Jessica Isolina Benavides
- Best Choice Home Care LLC
- Gracey Erin Byrd
- Care Perfections Health Services LLC
- Centered in Healing LLC
All providers in Manassas Park, VA · Behavior Analyst in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.