Individual provider Active NPI

Joanna El-Ezaby, BCBA

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1700214582
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001858 Issued in VA
Practice address
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone
(571) 440-5055
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 0133001858 VA Primary

Addresses

Primary practice location

2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587

Mailing address

44151 Tippecanoe Ter
Ashburn, VA 20147-4917
Phone (730) 593-8630

Other names 1

  • Joanna Holton Former 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

State licenses

LicenseStateTypeSpecialty
0133001858VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1700214582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44151 TIPPECANOE TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474917",
            "telephone_number": "730-593-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144587",
            "telephone_number": "571-440-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-EZABY",
        "first_name": "JOANNA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "HOLTON",
            "credential": "VA BOARD OF MEDICINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.