Emma L Malmgren

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11936236 Issued in VA

Practice address

11046 Stuart Mill Rd
Oakton, VA 22124-1013

Phone

(540) 680-8275

NPI assigned

Jul 19, 2017

Last updated

May 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pivotal Behavior Inc.

  • Community/Behavioral Health Agency
  • Oakton, VA
  • NPI 1336748961
  NPD Authorized official
• Leap Ahead, Inc.

  • Early Intervention Provider Agency
  • Manassas, VA
  • NPI 1235381633
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1528581758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11046 STUART MILL RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241013",
            "telephone_number": "540-680-8275",
            "fax_number": "703-620-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11046 STUART MILL RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241013",
            "telephone_number": "540-680-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10686 Crestwood Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201094407",
            "country_code": "US",
            "telephone_number": "703-392-6166",
            "fax_number": "703-392-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALMGREN",
        "first_name": "EMMA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "11936236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-19-36236",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR TECHNICIAN",
            "identifier": "106S00000X",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "e.helsel@connexfs.org",
            "affiliation": "N",
            "address_1": "11046 Stuart Mill Rd",
            "city": "Oakton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221241013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Lucas, PT
• Thanh Yen Ly, ATC
• Mary Macnabb
• Mostafa Maghzian
• Hamada R Makarita, DDS
• Ahmed Matri, DDS
• Rodney S Mayberry, DDS
• Laura Mayer
• Amy Gordon McGlynn, PH.D.
• Kevin Michael McGrath, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.