Individual provider Active NPI

Kayleigh Rasnick, BCABA

  • Behavior Analyst
  • Stafford, VA
National Provider Identifier
1871179895
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133003992 Issued in VA
Practice address
2765 Richmond Hwy Ste 105
Stafford, VA 22554-8331
Phone
(540) 699-2381
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 0133003992 VA Primary

Addresses

Primary practice location

2765 Richmond Hwy Ste 105
Stafford, VA 22554-8331

Mailing address

904 Princess Anne St Ste 407
Fredericksburg, VA 22401-5804
Phone (540) 479-3889

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

LicenseStateTypeSpecialty
0133003992VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Autism Services, LLC Behavior Analyst PastSince Mar 1, 2021 Accepting new patients
Stafford Early Autism Services Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1871179895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 407",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015804",
            "telephone_number": "540-479-3889",
            "fax_number": "540-479-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 RICHMOND HWY STE 105",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-699-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNICK",
        "first_name": "KAYLEIGH",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.