Lakshmi Menon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30760 Issued in CO

Practice address

41844 Rawnsley Dr
Ashburn, VA 20148-8040

Phone

(703) 955-0009

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Paradigm Shift LLC

  • Community/Behavioral Health Agency
  • Ashburn, VA
  • NPI 1558067496
  NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1699261008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41844 RAWNSLEY DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488040",
            "telephone_number": "703-955-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41844 RAWNSLEY DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488040",
            "telephone_number": "703-955-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "LAKSHMI",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-30760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "B62426588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Medina
• Nancy Meehan, RPH
• Julia B Meek, DPT
• Hermella M Melese
• Melkam Total Wellness PLLC
• Rebecca Mensah, FNP
• Mental Health & Addiction Support Services, LLC
• Samantha Aviles Meraw, PSY.D
• Elise Madison Merola
• Corrie Merriman

• Behavior Analyst in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.