NPIMap

Organization Active NPI

Kind Minds ABA LLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1548056005
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIND MINDS ABA LLC
Practice address
4033 Lake Glen Rd
Fairfax, VA 22033-4380
Phone
(703) 314-4241
NPI assigned
Apr 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Elsayed MasoudNPI 1720959422
Title
Owner/Ceo
Phone
(703) 314-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4033 Lake Glen Rd
Fairfax, VA 22033-4380

Mailing address

4033 Lake Glen Rd
Fairfax, VA 22033-4380
Phone (703) 314-4241

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1548056005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 LAKE GLEN RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334380",
            "telephone_number": "703-314-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 LAKE GLEN RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334380",
            "telephone_number": "703-314-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND MINDS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MASOUD",
        "authorized_official_first_name": "ELSAYED",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "703-314-4241"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.