Leah Elizabeth Koontz, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002536 Issued in VA

Practice address

21680 Ridgetop Cir Ste 100
Sterling, VA 20166-4292

Phone

(703) 689-0019

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Autism Outreach Inc.

  • Behavior Analyst
  • Sterling, VA
  • NPI 1639415912
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1619616976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21680 RIDGETOP CIR STE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201664292",
            "telephone_number": "703-689-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21680 RIDGETOP CIR STE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201664292",
            "telephone_number": "703-689-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Knight
• Swapna Kodimela, RPH
• Sharron Chancelle Mirdjia Koffi-Bella
• Stephanie Kolar, MA
• Kimberly S Kolb, DO
• Susmita Koppella, PT
• Kornerstone Health Solutions, LLC
• Sophia Anneliese Kosar, LMFT-R
• Nidhitha Kothapalli
• Jacob Scott Koyle, DPT, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.