Cardinal Care Behavioral Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CARDINAL CARE BEHAVIORAL THERAPY

Practice address

11921 Freedom Drive 2 Fountian Square
Suite 550
Reston, VA 20190

Phone

(310) 483-2662

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Roshanak Safiardestani, BCBA

Title

Behavior Analyst

Phone

(310) 483-2662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1649196189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 BRADDOCK RIDGE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 FREEDOM DRIVE 2 FOUNTIAN SQUARE",
            "address_2": "SUITE 550",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "310-483-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SAFIARDESTANI",
        "authorized_official_first_name": "ROSHANAK",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "310-483-2662",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capitol Health Group LLC
• Capitol Medical Health, LLC
• Judy Ellen Caplan, R,D
• Lourdes Mendoza Carbon, PT
• Cardea Physical Medicine, PLLC
• Careone Internal Medicine
• Carepath, LLC
• Caresouth HHA Holdings of Richmond, LLC
• Caring Angels Home Health LLC
• Caring Touch Home Health LLC

• Behavior Analyst in Reston, VA
• Providers in Reston, 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 8, 2026; 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.