Individual provider Active NPI

Elizabeth Zegowitz, BCBA, LBA

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1639594872
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23849 Issued in VA
Practice address
1462 S Greenmount Dr
Apt 404
Alexandria, VA 22311-2306
Phone
(804) 920-6463
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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 1-16-23849 VA Primary

Addresses

Primary practice location

1462 S Greenmount Dr
Apt 404
Alexandria, VA 22311-2306

Mailing address

716 Marsh Rd
Charlotte, NC 28209-1851
Phone (704) 522-9912

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

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1639594872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MARSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091851",
            "telephone_number": "704-522-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 S GREENMOUNT DR",
            "address_2": "APT 404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112306",
            "telephone_number": "804-920-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGOWITZ",
        "first_name": "ELIZABETH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-16-23849",
            "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 Oct 23, 2018; 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.