Individual provider Active NPI

Lizna Khimani, BCBA

  • Community/Behavioral Health Agency
  • Alexandria, VA
National Provider Identifier
1548734064
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
3445 Berkeley St Apt 242
Alexandria, VA 22302-1287
Phone
(804) 728-8827
NPI assigned
Jan 17, 2019
Last updated
Jun 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-49271 VA
Behavior Analyst 103K00000X BCABA-18-6155-140249 VA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3445 Berkeley St Apt 242
Alexandria, VA 22302-1287

Mailing address

14497 Potomac Mills Rd # 1013
Woodbridge, VA 22192-6807
Phone (703) 386-6070

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

LicenseStateTypeSpecialty
BCABA-18-6155-140249VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Awaits ABA LLC Behavior Analyst Current Accepting new patients
Anderson-Khimani Center for Early Intervention and Autism Services Current Accepting new patients
To the Moon PLLC Community/Behavioral Health CurrentSince Mar 27, 2022 Accepting new patients

Locations

14497 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 596-0880

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1548734064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14497 POTOMAC MILLS RD # 1013",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926807",
            "telephone_number": "703-386-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BERKELEY ST APT 242",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021287",
            "telephone_number": "804-728-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIMANI",
        "first_name": "LIZNA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-21-49271",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "BCABA-18-6155-140249",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; 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.