Selorm Afoa Augustt-Potakey

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133003457 Issued in VA

Practice address

2110 Abberly Cir Apt 4120
Midlothian, VA 23114-3272

Phone

(804) 704-2309

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1942884358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 ABBERLY CIR APT 4120",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143272",
            "telephone_number": "804-704-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 ABBERLY CIR APT 4120",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143272",
            "telephone_number": "804-704-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTT-POTAKEY",
        "first_name": "SELORM",
        "middle_name": "AFOA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1350",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Atherton
• Atiya Momin Atique, M.D.
• Joshua F Atkins
• Lori H Atkinson, D.P.T.
• Barry Seth Auerbach, M.D., M.P.H.
• Michael Austin
• Avail Health Services
• Jasmine J. Awad, CPNP
• Axum Transportation LLC
• Amal Aziz, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.