Northern Virginia Autism Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTHERN VIRGINIA AUTISM THERAPY LLC

Practice address

8300 Boone Blvd Ste 500
Vienna, VA 22182-2681

Phone

(571) 409-8841

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Fara Marz Siddiqui

Title

Owner

Phone

(571) 409-8841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1932082583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 BOUNTIFUL LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935538",
            "telephone_number": "571-409-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD STE 500",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822681",
            "telephone_number": "571-409-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA AUTISM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FARA",
        "authorized_official_middle_name": "MARZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-409-8841"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Vienna, VA
• Providers in Vienna, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.