MANDANA MOHTASHAM (NPI# 1639642929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642929 |
| Entity Type | Individual |
| Full Name | MANDANA MOHTASHAM |
| Credential | RBT |
| Practice Address |
2201 N Pershing Dr Apt 305 Arlington VA 22201-1473 |
| Mailing Address |
2201 N Pershing Dr Arlington VA 22201-1446 |
| Practice Telephone | 2517675501 |
| Mailing Telephone | 2517675501 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2201 N PERSHING DR APT 305 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22201-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314422 | Michael John Harrington | Specialist/Technologist | 1301 N Stafford St, Arlington, VA 22201 | 2017-09-04 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1821471244 | Christopher P Henry | Dentist | 1025 N. Fillmore St., Suite A, Arlington, VA 22201 | 2015-07-02 |
| 1699174714 | Northstar Psychological Services | Psychologist | 2000 N. 15th Street, Suite G2-100, Arlington, VA 22201 | 2014-08-14 |
| 1861823809 | Nicole Aniela Szwanke | Physical Therapist | 1005 N Glebe Rd Ste 410, Arlington, VA 22201 | 2013-12-02 |
| 1285073791 | Live Longer Labs LLC | Clinical Medical Laboratory | 1040 N Quincy St Suite 500, Arlington, VA 22201 | 2013-06-18 |
| 1992093355 | Deepthi Moola | Student in an Organized Health Care Education/Training Program | 1005 North Glebe Rd, #430, Arlington, VA 22201 | 2011-07-19 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1639483951 | Hooman Hamidi | Chiropractor | 2778 Washington Blvd, Arlington, VA 22201 | 2010-07-28 |
| 1831400233 | Stephanie A Klassner | Dentist | 1025 North Fillmore Street, Suite A, Arlington, VA 22201 | 2010-06-30 |
| Find all providers in zip 22201 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650359 | Lucia Conlon | Behavior Technician | 3017 Medlin Dr, Arlington, TX 76015-2336 | 2020-08-20 |
| 1558985572 | Theresa Tran | Behavior Technician | 1012 Commercial Blvd N Bldg North, Arlington, TX 76001-7119 | 2020-06-05 |
| 1033730197 | Chrissi D Gray | Behavior Technician | 3528 Chatham Green Ln Apt 711, Arlington, TX 76014-3746 | 2020-04-29 |
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1730726290 | Fadwa Khardi | Behavior Technician | 2446 S Oakland St, Arlington, VA 22206-2432 | 2019-12-04 |
| 1700435146 | Dylan Keith Crosby | Behavior Technician | 1018 S Quebec St Apt 4, Arlington, VA 22204-4155 | 2019-09-09 |
| 1689238156 | Rokaia Jamel Al-mosawi | Behavior Technician | 4141 N Henderson Rd # 8, Arlington, VA 22203-2486 | 2019-04-30 |
| 1770062754 | Richard Michael Sitton | Behavior Technician | 1184 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2018-08-09 |
| 1336649417 | Annette Okonofua | Behavior Technician | 8104 Wesson Rd, Arlington, TX 76002-3005 | 2018-02-15 |
| 1467951327 | Robert Emery | Behavior Technician | 4141 N Henderson Rd Ste 8, Arlington, VA 22203-2485 | 2018-02-06 |
| Find all providers in ARLINGTON | ||||
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| 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.