Individual provider Active NPI

Jonathan Clark Redding, BCBA

  • Behavior Analyst
  • Falls Church, VA
National Provider Identifier
1679756290
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3152 Anchorway CT
Falls Church, VA 22042-7549
Phone
(877) 315-8080
Fax
(877) 345-4009
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3152 Anchorway CT
Falls Church, VA 22042-7549

Mailing address

373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone (877) 315-8080

Other practice location 1

926 J Clyde Morris Blvd
Newport News, VA 23601-1054
Phone (757) 788-8490

Other practice location 2

140 Rhaubert Cir
State College, PA 16801-7250
Phone (814) 777-3003

Other names 1

  • Jonathan Clark Redding Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Reinforcement Behavior Therapy, Inc Behavior Analyst CurrentSince Jun 22, 2021 Accepting new patients
Serenity C & C Inc. Past Accepting new patients
Positive Reinforcement ABA Therapy Inc. Counselor PastSince Jun 22, 2021 Accepting new patients
QBC, LLC Behavior Analyst Past Accepting new patients

Locations

373 S Willow St
Ste 266
Manchester, NH 03103

Organizations & group practices 4

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1679756290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 ANCHORWAY CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220427549",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011054",
            "country_code": "US",
            "telephone_number": "757-788-8490",
            "fax_number": "757-788-8492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Rhaubert Cir",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017250",
            "country_code": "US",
            "telephone_number": "814-777-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDING",
        "first_name": "JONATHAN",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "REDDING",
            "middle_name": "CLARK",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.