To the Moon PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TO THE MOON PLLC

Doing business as

To the Moon ABA Therapy

Practice address

10307 Pebblebrook PL
Richmond, VA 23238-6807

Phone

(804) 728-8882

NPI assigned

Mar 2, 2022

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lizna Khimani, MANPI 1548734064

Title

Bcba

Phone

(804) 728-8827

Specialties & licenses 3

Addresses

Other names 1

• To the Moon ABA Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lizna Khimani, BCBA

  • Community/Behavioral Health Agency
  • Alexandria, VA
  • NPI 1548734064
  NPD Authorized official

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1861149510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14497 POTOMAC MILLS RD # 1013",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926807",
            "telephone_number": "804-728-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 PEBBLEBROOK PL",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232386807",
            "telephone_number": "804-728-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE MOON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "KHIMANI",
        "authorized_official_first_name": "LIZNA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "804-728-8827",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "To the Moon ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "To the Moon ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.