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

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 and National Provider Directory roles.

• Keliz Inc

  • 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.

• All providers in Alexandria, VA
• 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.