Individual provider Active NPI

Ellen Murray Saxena, BCBA

  • Behavior Analyst
  • Manassas, VA
National Provider Identifier
1982019808
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16559 Issued in VA
Practice address
7611 Coppermine Dr
Manassas, VA 20109-2668
Phone
(703) 496-7804
Fax
(540) 898-1040
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 1-14-16559 VA Primary

Addresses

Primary practice location

7611 Coppermine Dr
Manassas, VA 20109-2668

Mailing address

19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345

Other practice location 1

5400 Shawnee Rd
Alexandria, VA 22312-2300
Phone (703) 750-0633

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1982019808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 COPPERMINE DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092668",
            "telephone_number": "703-496-7804",
            "fax_number": "540-898-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Shawnee Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223122300",
            "country_code": "US",
            "telephone_number": "703-750-0633",
            "fax_number": "703-750-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "ELLEN",
        "middle_name": "MURRAY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-14-16559",
            "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 May 23, 2019; 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.