Individual provider Active NPI

Erin Helena Kimmelman, BCBA

  • Behavior Analyst
  • Reston, VA
National Provider Identifier
1801387402
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-56726 Issued in VA
Practice address
1800 Alexander Bell Dr Ste 100
Reston, VA 20191-4385
Phone
(866) 565-7222
Fax
(877) 734-1914
NPI assigned
May 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 1-21-56726 VA Primary

Addresses

Primary practice location

1800 Alexander Bell Dr Ste 100
Reston, VA 20191-4385

Mailing address

2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (609) 525-4271

Other practice location 1

27990 Sherman Rd
Menifee, CA 92585-9155
Phone (951) 309-9135

Other identifiers 1

IdentifierTypeStateIssuer
1801387402MedicaidVA

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
Your Life ABA VA, LLC Behavior Analyst PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1801387402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "609-525-4271",
            "fax_number": "443-743-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ALEXANDER BELL DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914385",
            "telephone_number": "866-565-7222",
            "fax_number": "877-734-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27990 Sherman Rd",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925859155",
            "country_code": "US",
            "telephone_number": "951-309-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "ERIN",
        "middle_name": "HELENA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-21-56726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801387402",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.