Individual provider Active NPI

Piraporn Satjayakorn

  • Behavior Analyst
  • Fairfax, VA
National Provider Identifier
1760957484
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12104 Garden Grove Cir Unit 201
Fairfax, VA 22030-9021
Phone
(703) 831-7405
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12104 Garden Grove Cir Unit 201
Fairfax, VA 22030-9021

Mailing address

12104 Garden Grove Cir Unit 201
Fairfax, VA 22030-9021
Phone (703) 831-7405

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

OrganizationSpecialtyStatusNew patients
Bravely Minded LLC Behavior Analyst CurrentSince Jun 3, 2025 Accepting new patients
NS in-Network, LLC Behavior Analyst Past Accepting new patients
National Speech Language Therapy Center PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 3

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1760957484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 GARDEN GROVE CIR UNIT 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309021",
            "telephone_number": "703-831-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 GARDEN GROVE CIR UNIT 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309021",
            "telephone_number": "703-831-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATJAYAKORN",
        "first_name": "PIRAPORN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 May 26, 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.

Verify at the official NPI Registry.