Organization Active NPI

Mindsparks

  • Behavior Analyst
  • MC Lean, VA
National Provider Identifier
1881494367
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MINDSPARKS
Practice address
8421 Broad St Unit 2402
MC Lean, VA 22102-3780
Phone
(703) 507-2692
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Omaira Qazi
Title
Owner
Phone
(703) 507-2692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8421 Broad St Unit 2402
MC Lean, VA 22102-3780

Mailing address

8421 Broad St Unit 2402
MC Lean, VA 22102-3780
Phone (703) 507-2692

Other names 1

  • MindSparks Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1881494367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 BROAD ST UNIT 2402",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023780",
            "telephone_number": "703-507-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 BROAD ST UNIT 2402",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023780",
            "telephone_number": "703-507-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "OMAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-507-2692"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindSparks",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.