Altavia Long, ABA THERAPIST

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1418 Marion Barry Ave SE
Washington, DC 20020-5615

Phone

(202) 910-4164

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Business Administration

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1831891365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200909999",
            "telephone_number": "202-910-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MARION BARRY AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205615",
            "telephone_number": "202-910-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 O St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200011259",
            "country_code": "US",
            "telephone_number": "202-910-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALTAVIA",
        "name_prefix": "Ms.",
        "credential": "ABA THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0000822461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002790",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adunoluwa Mercy Lomuwagun
• Margo London, MSW
• Isabel Londono Marulanda, MD
• Prokoshia Long-Opher
• Alonzo Long
• Angela Long, HHA
• Avah Long
• Cameron Long
• Carolyn H Long, CRNP
• Cheryl Long

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.