Active NPI
Tatiana Garcia
- Behavior Analyst
- Woodbridge, VA
National Provider Identifier
1881172013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 14497 Potomac Mills Rd # 1013
Woodbridge, VA 22192-6807 - Phone
- (571) 919-5719
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14497 Potomac Mills Rd # 1013
Woodbridge, VA 22192-6807
Mailing address
231 Cobble Stone Dr
Winchester, VA 22602-6871
Phone (571) 919-5719
Other practice location 1
11240 Waples Mill Rd Ste 101
Fairfax, VA 22030-6078
Phone (703) 237-2219
Other practice location 2
297 Herndon Pkwy # 300
Herndon, VA 20170-4474
Phone (571) 241-8557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881172013 | Medicaid | VA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moms Offering Meaningful Support, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Winchester, VA
- NPI 1912721259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1881172013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 COBBLE STONE DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226026871",
"telephone_number": "571-919-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14497 POTOMAC MILLS RD # 1013",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926807",
"telephone_number": "571-919-5719"
}
],
"practiceLocations": [
{
"address_1": "11240 Waples Mill Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220306078",
"country_code": "US",
"telephone_number": "703-237-2219",
"fax_number": "703-237-2729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "297 Herndon Pkwy # 300",
"address_purpose": "LOCATION",
"city": "Herndon",
"state": "VA",
"postal_code": "201704474",
"country_code": "US",
"telephone_number": "571-241-8557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "TATIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881172013",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.