Active NPI
Gracelove A Otti Okyere, QASP-S
- Assistant Behavior Analyst
- Stafford, VA
National Provider Identifier
1669125365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 16918
- Practice address
- 454 Indigo Way
Stafford, VA 22554-2574 - Phone
- (703) 479-1288
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 16918 | VA | Primary |
Addresses
Primary practice location
454 Indigo Way
Stafford, VA 22554-2574
Mailing address
2000 Tower Oaks Blvd FL 5
Rockville, MD 20852-4282
Phone (301) 444-5001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16918 | VA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1669125365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 TOWER OAKS BLVD FL 5",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524282",
"telephone_number": "301-444-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 INDIGO WAY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225542574",
"telephone_number": "703-479-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTI OKYERE",
"first_name": "GRACELOVE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "QASP-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "16918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.