Individual provider Active NPI

Bianca Michelle Nunez

  • Behavior Technician
  • MC Lean, VA
National Provider Identifier
1659861987
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389
Phone
(800) 828-5659
Fax
(866) 857-0246
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389

Mailing address

14503 Duran Dr
Woodbridge, VA 22193-2712
Phone (571) 216-9992

Other practice location 1

4528 Plank Rd Ste A2
Fredericksburg, VA 22407-0141
Phone (540) 841-4443

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1659861987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14503 DURAN DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932712",
            "telephone_number": "571-216-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 OLD MEADOW RD STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024389",
            "telephone_number": "800-828-5659",
            "fax_number": "866-857-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4528 Plank Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070141",
            "country_code": "US",
            "telephone_number": "540-841-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "BIANCA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.