Spora Endam Mbanwei

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

HHA200003239 Issued in DC

Practice address

85 S Bragg St # 401
Alexandria, VA 22312-2797

Phone

(703) 814-5106

NPI assigned

Nov 13, 2023

Last updated

May 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keliz Inc

  dba Keliz Health Services

  • Home Health Agency
  • Alexandria, VA
  • NPI 1063977403
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1992579668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST # 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-814-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST # 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-814-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBANWEI",
        "first_name": "SPORA",
        "middle_name": "ENDAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "DC",
            "license": "HHA200003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Abdelhamid Mazher, M.D.
• Mazin Physical Therapy PLLC
• Makenzie Mazin, DSCPT
• Elizabeth Mazza, LMSW
• Jazmina Mba Gonzalez, SA-C
• Margaret Lefah Mbinyi, FNP
• Sabrina McAllister
• Tyreese Raesohn McAllister, LCPC
• Craig Joseph McAsey, M.D.
• Erica M.R. McBride, M.D.

• Behavior Technician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.