Active NPI
Amitis Izadi Lowery
- Behavior Analyst
- Manassas, VA
National Provider Identifier
1538055488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133004419
- Practice address
- 9379 Forestwood LN
Manassas, VA 20110-4760 - Phone
- (703) 909-9332
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133004419 | VA | Primary |
Addresses
Primary practice location
9379 Forestwood LN
Manassas, VA 20110-4760
Mailing address
14258 Newbern Loop
Gainesville, VA 20155-1451
Phone (571) 299-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133004419 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1538055488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14258 NEWBERN LOOP",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201551451",
"telephone_number": "571-299-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9379 FORESTWOOD LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104760",
"telephone_number": "703-909-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZADI LOWERY",
"first_name": "AMITIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133004419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.