KATHLEEN MAHAN


Address: 5500 Tramore Ct, Fairfax, VA 22032-3126
Phone: (703) 409-9693

KATHLEEN MAHAN (NPI# 1467989590) 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) 1467989590
Entity Type Individual
Full Name KATHLEEN MAHAN
Practice Address 5500 Tramore Ct
Fairfax
VA 22032-3126
Practice Telephone (703) 409-9693
Mailing Telephone 7034099693
Enumeration Date 2017-05-19
Last Update Date 2017-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician 1500605 VA Behavioral Health & Social Service Providers

Other Providers KATHLEEN MAHAN

NPI Name Taxonomy Address Enumeration
1639100464 Kathleen A Mahan Family Medicine 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 2006-07-06
1669474532 Kathleen Ellen Mahan Nurse Practitioner 7381 College Pkwy, Suite 110, Fort Myers, FL 33907-5548 2005-08-11
1184068298 Kathleen Mahan Internal Medicine 909 Fulton St Se, Minneapolis, MN 55455-4800 2013-04-18
1053488809 Kathleen Mahan Nurse Practitioner 400 W 30th St, Los Angeles, CA 90007-3320 2006-11-29

Office Location

Street Address 5500 TRAMORE CT
City FAIRFAX
State VA
Zip Code 22032-3126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093193567 Cynthia Leigh Pascal Counselor 9801 Joyce Street, Fairfax, VA 22032 2015-05-15
1760888432 Judy Lim Massage Therapist 4205 Olley Ln, Fairfax, VA 22032 2014-11-07
1083015010 Caring Heart Nursing Services LLC Registered Nurse 4824 Gainsborough Dr, Fairfax, VA 22032 2014-09-09
1033483839 Inovacares for Seniors PACE Provider Organization 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 2012-02-27
1598032716 Joshua Michael Prozeralik Pharmacist 10310 New Guinea Road, Burke, VA 22032 2011-11-17
1356570071 Azmy A. Iskander Emergency Medicine 10520 Acacia Lane, Fairfax, VA 22032 2009-07-02
1851515175 The Pediatric Group, PC Registered Nurse 10527 Braddock Road, Fairfax, VA 22032 2007-04-11
1770634313 Andrea L Lubeck Nurse Practitioner 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 2007-01-12
1104167212 Inova Health Care Services PACE Provider Organization 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 2013-03-14
1770835993 Catherine A Groden Nurse Practitioner 10301 New Guinea Rd, Target, Fairfax, VA 22032 2012-10-11
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891330437 Sabrina Marie Slack Behavior Technician 10430 Democracy Lane #102b, Fairfax, VA 22030-2203 2019-11-07
1932765799 Alexandra L Wolfe Behavior Technician 4139 Halsted St, Fairfax, VA 22033-5527 2019-05-16
1265913610 Layetta Monique Kerrick Behavior Technician 10340 Democracy Ln Ste 103, Fairfax, VA 22030-2518 2018-08-23
1306337217 Aisha Amadou Konare Behavior Technician 10340 Democracy Ln Ste 102b&103, Fairfax, VA 22030-2518 2018-05-25
1902300031 Kimberly Copeland Behavior Technician 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 2018-03-22
1285137521 Leyla Abilova Behavior Technician 10340 Democracy Ln # 102b-103, Fairfax, VA 22030-2518 2018-03-13
1003322066 Jennifer Calderon Behavior Technician 10530 Warwick Ave Ste C, Fairfax, VA 22030-3132 2017-12-28
1720594955 Jacqueline Clark Behavior Technician 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 2017-12-26
1144739699 Danielle Christina Sharp Behavior Technician 9870a Main Street, Fairfax, VA 22031 2017-09-28
1164944211 Laura Kapner Behavior Technician 11240 Waples Mill Rd Ste 300, Fairfax, VA 22030-6078 2017-07-11
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Competitor

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City FAIRFAX
Zip Code 22032

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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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