Active NPI
Melissa J Dioses Porlles
- Behavior Technician
- Fairfax, VA
National Provider Identifier
1669369948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-313861
- Practice address
- 10565 Fairfax Blvd Ste 300
Fairfax, VA 22030-3104 - Phone
- (703) 218-6599
- NPI assigned
- Jun 19, 2025
- Last updated
- Jun 19, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-313861 | VA | Primary |
Addresses
Primary practice location
10565 Fairfax Blvd Ste 300
Fairfax, VA 22030-3104
Mailing address
8312 Kingsgate Rd Apt D
Springfield, VA 22152-1187
Phone (703) 269-7978
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 |
|---|---|---|---|
| RBT-23-313861 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Transcultural Clinical Center | Behavior Technician | Current | Accepting new patients |
| Mental Health Services En Espanol LLC | Behavior Technician | Current | Accepting new patients |
Locations
10565 Fairfax Blvd
Ste 300
Fairfax, VA 22030
Phone (703) 218-6599
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Victoria Transcultural Clinical Center LLC
- Assistant Behavior Analyst
- Fairfax, VA
- NPI 1811089014
Behavior Technician
-
- Behavior Technician
- Fairfax, VA
- NPI 1265225320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1669369948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8312 KINGSGATE RD APT D",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521187",
"telephone_number": "703-269-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10565 FAIRFAX BLVD STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303104",
"telephone_number": "703-218-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIOSES PORLLES",
"first_name": "MELISSA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-23-313861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Dina Darwish MD PC
- Ashley Dinh, DDS
- Bach-Duong Dinh
- Chau Bao Dinh
- Truc Nha Dinh, DDS
- Sanda F Dipaolo, MD
- Director of Finance - County of Fairfax VA (Fairfax County Dept. of Neighborhood & Comm Svcs.)
- Director of Finance-County of Fairfax VA (Fairfax County Health Department Pharmacy)
- Director of Finance-County of Fairfax VA (Fairfax County Dental Clinic)
- Director of Finance-County of Fairfax VA (Fairfax County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.