Nicole Geissler, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002882 Issued in VA

Practice address

9379 Forestwood LN
Manassas, VA 20110-4760

Phone

(703) 909-9332

Fax

(571) 292-1703

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Family Beeginnings Inc.

  • Community/Behavioral Health Agency
  • Manassas, VA
  • NPI 1578119236

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1619601622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2393",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201080841"
        },
        {
            "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",
            "fax_number": "571-292-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSLER",
        "first_name": "NICOLE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000453",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayflor Careconnect LLC
• Gdat Shukrana PLLC
• Eleny Tadese Gebre, NP
• Anne Moloney Geiran, RD
• Alexis Patricia Geisler, LPC, NCC
• Dorothy E Gemignani
• Ryan Geoghegan, DPT
• Anu Sara George, M.D.
• Rachel Ann Geraci, M.A. CCC-SLP
• Lincoln Anthony German, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.