Individual provider Active NPI

Abdul M Yousufzai

  • Assistant Behavior Analyst
  • Centreville, VA
National Provider Identifier
1669021820
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000309 Issued in VA
Practice address
14608 Thera Way
Centreville, VA 20120-3451
Phone
(703) 286-9878
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-83448 VA
Assistant Behavior Analyst 106E00000X 0134000309 VA Primary

Addresses

Primary practice location

14608 Thera Way
Centreville, VA 20120-3451

Mailing address

14608 Thera Way
Centreville, VA 20120-3451
Phone (703) 286-9878

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL behavioralexpectations.com Direct
Other URL behavioralexpectations.com Direct

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
0134000309VAMDAssistant Behavior Analyst
RBT-19-83448VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Therapy, LLC CurrentSince Mar 27, 2022 Accepting new patients
Behavioral Expectations LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

8700 Centreville Rd
Ste 8696
Manassas, VA 20110
Phone (202) 360-0614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1669021820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14608 THERA WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203451",
            "telephone_number": "703-286-9878",
            "fax_number": "703-815-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14608 THERA WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203451",
            "telephone_number": "703-286-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUFZAI",
        "first_name": "ABDUL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-19-83448",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "behavioralexpectations.com",
            "affiliation": "N",
            "endpointDescription": "Centreville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Centreville",
            "address_1": "14608 Thera Way",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201203451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "behavioralexpectations.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14608 Thera Way",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201203451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.