Active NPI
Camila Nishida
- Behavior Analyst
- Fairfax, VA
National Provider Identifier
1750765376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7533
- Practice address
- 3212 Arrowhead Cir
Apt D
Fairfax, VA 22030-7311 - Phone
- (571) 830-5352
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 7533 | VA | Primary |
Addresses
Primary practice location
3212 Arrowhead Cir
Apt D
Fairfax, VA 22030-7311
Mailing address
3212 Arrowhead Cir
Apt D
Fairfax, VA 22030-7311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7533 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1750765376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 ARROWHEAD CIR",
"address_2": "APT D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 ARROWHEAD CIR",
"address_2": "APT D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307311",
"telephone_number": "571-830-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIDA",
"first_name": "CAMILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "7533",
"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 Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.