Individual provider Active NPI

Mandana Roushanmeidan, BCBA

  • Behavior Analyst
  • Falls Church, VA
National Provider Identifier
1902302268
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-8-30161
Practice address
2531 Hillsman St
Falls Church, VA 22043-3336
Phone
(703) 595-0441
Fax
(571) 583-9173
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 1-8-30161 Primary

Addresses

Primary practice location

2531 Hillsman St
Falls Church, VA 22043-3336

Mailing address

6862 Elm St Ste 205
MC Lean, VA 22101-3857
Phone (703) 821-1073

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

OrganizationSpecialtyStatusNew patients
McLean Counseling Center Past Accepting new patients
Newwave Behavioral Consultation LLC PastSince Jun 29, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1902302268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 205",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013857",
            "telephone_number": "703-821-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 HILLSMAN ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433336",
            "telephone_number": "703-595-0441",
            "fax_number": "571-583-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSHANMEIDAN",
        "first_name": "MANDANA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-8-30161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.