Active NPI
Mindsparks
- Behavior Analyst
- MC Lean, VA
National Provider Identifier
1881494367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
National Provider Directory
National Provider DirectoryNPI 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.