Active NPI
E'Manuel McIntosh
- Behavior Technician
- Fairfax, VA
National Provider Identifier
1689422875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475 - Phone
- (703) 237-2219
- NPI assigned
- May 11, 2024
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Mailing address
1501 Oak Grove Pkwy
Durham, NC 27703-6693
Phone (919) 685-5426
Other practice location 1
12459 Lewis St Ste 201
Garden Grove, CA 92840-6606
Phone (800) 249-1266 ext. 55426
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axiom Link, Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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": "1715385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1689422875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 OAK GROVE PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036693",
"telephone_number": "919-685-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 WAPLES MILL RD STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307475",
"telephone_number": "703-237-2219"
}
],
"practiceLocations": [
{
"address_1": "12459 Lewis St Ste 201",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928406606",
"country_code": "US",
"telephone_number": "800-249-1266 x55426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTOSH",
"first_name": "E'MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-11",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.