Individual provider Active NPI

Marie Angelique Eugenie Basauri Flores, VA

  • Behavior Analyst
  • Fairfax, VA
National Provider Identifier
1629757455
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133002574 Issued in VA
Practice address
10565 Fairfax Blvd Ste 300
Fairfax, VA 22030-3104
Phone
(703) 218-6599
NPI assigned
Jul 18, 2023
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133002574 VA Primary

Addresses

Primary practice location

10565 Fairfax Blvd Ste 300
Fairfax, VA 22030-3104

Mailing address

7014 Beechwood Dr
Chevy Chase, MD 20815-5176
Phone (571) 474-5961

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
0133002574VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Transcultural Clinical Center CurrentSince Sep 3, 2025 Accepting new patients
Mental Health Services En Espanol LLC Behavior Analyst CurrentSince Sep 3, 2025 Accepting new patients

Locations

10565 Fairfax Blvd
Ste 300
Fairfax, VA 22030
Phone (703) 218-6599

Organizations & group practices 2

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1629757455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 BEECHWOOD DR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155176",
            "telephone_number": "571-474-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 FAIRFAX BLVD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303104",
            "telephone_number": "703-218-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASAURI FLORES",
        "first_name": "MARIE",
        "middle_name": "ANGELIQUE EUGENIE",
        "name_prefix": "Mrs.",
        "credential": "VA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002574",
            "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 Aug 25, 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.