Organization Active NPI

Nova ABA

  • Behavior Analyst
  • Herndon, VA
National Provider Identifier
1891127650
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NOVA ABA
Practice address
2627 Quincy Adams Dr
Herndon, VA 20171-2436
Phone
(571) 249-5142
NPI assigned
Aug 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Authorized official

Name
Maria Soldatenkov
Title
Co-Owner
Phone
(571) 249-5142

Specialties & licenses 1

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

Addresses

Primary practice location

2627 Quincy Adams Dr
Herndon, VA 20171-2436

Mailing address

2627 Quincy Adams Dr
Herndon, VA 20171-2436
Phone (571) 249-5142

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1891127650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 QUINCY ADAMS DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712436",
            "telephone_number": "571-249-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 QUINCY ADAMS DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712436",
            "telephone_number": "571-249-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "SOLDATENKOV",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "571-249-5142"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.