Nathan E Palmer

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

44933 George Washington Blvd Ste 110
Ashburn, VA 20147-6301

Phone

(888) 760-9468

NPI assigned

Aug 4, 2016

Last updated

May 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1700330073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44933 GEORGE WASHINGTON BLVD STE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476301",
            "telephone_number": "888-760-9468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Bellview Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013142",
            "country_code": "US",
            "telephone_number": "540-542-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NATHAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-05-12",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "T65976057",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Owoyemi, PHARMD
• Scott Padilla, PSYD
• Gabriela Pagan Lizardo
• Monica Page, PHD
• Pooja Pai, OTR/L
• Supriya Pandit
• Jessica Pane, LCSW
• Kyle Veloso Panzer, MD
• Nikolaos Papageorgiou, DDS
• Paradigm Shift LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.