Jamilah Eid

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

PSYA00274 Issued in DC

Practice address

4187 Lower Park Dr
Fairfax, VA 22030-8544

Phone

(703) 459-3279

NPI assigned

Feb 1, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1528659588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 LOWER PARK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308544",
            "telephone_number": "703-459-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4187 LOWER PARK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308544",
            "telephone_number": "703-459-3279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 7th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200042237",
            "country_code": "US",
            "telephone_number": "703-459-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "JAMILAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "DC",
            "license": "PSYA00274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ege, LPC
• Meena S. Ego-Osuala, P.A.-C
• John Louis Ehlers III, M.A., LPC, NCC
• Thomas Paul Ehrlich, MD
• Shannon Eickhoff, PA-C
• Nawal M Eid, CCC-SLP
• Philip David Eiseman
• Marc Eisenbaum, M.D.
• Rachel Fannell Eisenfeld, C-PED, O.F
• Nastaran Ejtemai, DDS

• Assistant Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Assistant Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.