NPIMap

Organization Active NPI

Autism Behavior Therapy

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1467845115
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000299 Issued in VA
Legal business name
AUTISM BEHAVIOR THERAPY
Practice address
5750 Drake CT
#371
Alexandria, VA 22311-5750
Phone
(703) 678-9497
Fax
(571) 312-4642
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Grace Cho, PH.D.
Title
Program Director
Phone
(703) 678-9497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 0133000299 VA Primary

Addresses

Primary practice location

5750 Drake CT
#371
Alexandria, VA 22311-5750

Mailing address

5750 Drake CT
#371
Alexandria, VA 22311-5750
Phone (703) 678-9497

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1467845115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DRAKE CT",
            "address_2": "#371",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115750",
            "telephone_number": "703-678-9497",
            "fax_number": "571-312-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DRAKE CT",
            "address_2": "#371",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115750",
            "telephone_number": "703-678-9497",
            "fax_number": "571-312-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "703-678-9497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.