Active NPI
Mumina Khan, BCBA, LBA
- Behavior Analyst
- Manassas, VA
National Provider Identifier
1912414921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44771
- Practice address
- 8565 Fairfax St
Manassas, VA 20110-4815 - Phone
- (877) 315-8080
- NPI assigned
- Dec 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-46831 | VA | |
| Behavior Analyst | 103K00000X | 1-20-44771 | VA | Primary |
Addresses
Primary practice location
8565 Fairfax St
Manassas, VA 20110-4815
Mailing address
15477 Marsh Overlook Dr
Woodbridge, VA 22191-3778
Phone (571) 228-1141
Other practice location 1
1651 Old Meadow Rd Ste 600
Mc Lean, VA 22102-4389
Phone (703) 564-1662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-46831 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1912414921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15477 MARSH OVERLOOK DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913778",
"telephone_number": "571-228-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8565 FAIRFAX ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104815",
"telephone_number": "877-315-8080"
}
],
"practiceLocations": [
{
"address_1": "1651 Old Meadow Rd Ste 600",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221024389",
"country_code": "US",
"telephone_number": "703-564-1662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MUMINA",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-17-46831",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "1-20-44771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.