Fly Wheel Center VA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FLY WHEEL CENTER VA LLC

Practice address

44 Canal Center PLZ
Alexandria, VA 22314-1592

Phone

(347) 661-6533

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Shraga F Waxman

Title

Owner

Phone

(347) 661-6533

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Stephens

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1316400500
  NPD (past)
• Jared Parlin

  • Behavior Analyst
  • Washington, DC
  • NPI 1518459890
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1518792829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WHITE ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CANAL CENTER PLZ",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141592",
            "telephone_number": "347-661-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY WHEEL CENTER VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "SHRAGA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-661-6533"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrada Florescu
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• Flourish Healthcare Solutions LLC
• Flourish Lactation
• John Kenneth Flowers Jr., LPC
• Timothy Flynn, M.S., CCC-SLP
• Focused Family Services, LLC
• Foggy Bottom Physician Group, Inc.
• Gillyan Fogle
• Maria B Foley, PSY.D.

• Behavior Analyst in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Behavior Analyst in Virginia

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