MR. ENOLA NASHOBA HASTIIN


Address: 9870a Main St, Fairfax, VA 22031-3908
Phone: 5713171742

MR. ENOLA NASHOBA HASTIIN (NPI# 1114449386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114449386
Entity Type Individual
Full Name MR. ENOLA NASHOBA HASTIIN
Other Name MR. DANIEL LOGAN DIXON
Credential RBT
Practice Address 9870a Main St
Fairfax
VA 22031-3908
Mailing Address 309 Assembly Point Ct
Odenton
MD 21113-2909
Practice Telephone 5713171742
Mailing Telephone 7069459776
Enumeration Date 2017-07-10
Last Update Date 2017-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 9870A MAIN ST
City FAIRFAX
State VA
Zip Code 22031-3908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447789441 Cassidy Marie Mcneely Technician 9870a Main St, Fairfax, VA 22031-3908 2017-06-05
1144709908 Isatu Sia Saffa Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-08-12
1336632843 Stephanie Marie Hume Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-06-08
1164914099 Caroline Renee Linane Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-06-06
1407351299 Sarah Gerometta Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-03-26
1083116990 Samantha Anne Kehn Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-03-07
1841798063 Alhaji Marah Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-01-23
1194223214 Maria Sepulveda Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-01-23
1033617253 Mohammed Bangura Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-01-23
1821596941 Ankus Basnet Behavior Technician 9870a Main St, Fairfax, VA 22031-3908 2018-01-23
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1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003426966 Nitika Rikhi Behavioral Analyst 12972 Highland Oaks Ct, Fairfax, VA 22033-2030 2020-08-05
1710512405 Rachel Danya Robinson Behavioral Analyst 4202 Lamarre Dr, Fairfax, VA 22030-5134 2020-03-03
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1578129417 Natasha Marie Metzner Behavioral Analyst 10340 Democracy Ln Ste Band102, Fairfax, VA 22030-2518 2019-05-16
1023583069 S.h.a.p.e Solutions LLC Behavioral Analyst 12237 Fairfield House Dr Apt 311, Fairfax, VA 22033-3953 2018-10-05
1013492131 Audrey Page Behavioral Analyst 10340 Democracy Ln Ste 102b&3, Fairfax, VA 22030-2518 2018-09-25
1831677913 Francisca D Colindres Reyes Behavioral Analyst 10340 Democracy Ln Ste Band103, Fairfax, VA 22030-2518 2018-08-01
1477043925 Alleah Basic Behavioral Analyst 10340 Democracy Ln Ste 102b103, Fairfax, VA 22030-2518 2018-05-10
1194234625 Aba Center of Virginia Behavioral Analyst 4969 Vail Ridge Ln, Fairfax, VA 22030-6646 2017-09-27
1922540780 Tammy Ko Behavioral Analyst 10340 Democracy Ln Ste 102b, Fairfax, VA 22030-2518 2016-11-10
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Competitor

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City FAIRFAX
Zip Code 22031

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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