Individual provider Active NPI

Wazhma Maiwandi

  • Behavior Technician
  • Alexandria, VA
National Provider Identifier
1952110082
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB920939 Issued in VA
Practice address
4520 King St Apt 408
Alexandria, VA 22302-1303
Phone
(571) 478-2300
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB920939 VA Primary

Addresses

Primary practice location

4520 King St Apt 408
Alexandria, VA 22302-1303

Mailing address

4520 King St Apt 408
Alexandria, VA 22302-1303
Phone (571) 478-2300

Other names 1

  • Makkah Maiwandi Other name

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

LicenseStateTypeSpecialty
BACB920939VAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1952110082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 KING ST APT 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021303",
            "telephone_number": "571-478-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 KING ST APT 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021303",
            "telephone_number": "571-478-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIWANDI",
        "first_name": "WAZHMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "BACB920939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKKAH",
            "last_name": "MAIWANDI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.