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Kimtracy Villarin , BCBA, LBA

Behavior Analyst β€’ Herndon, VA

Active NPI 1659735157 Individual Practitioner Female Practitioner
Practice location in NPPES

297 Herndon Pkwy Ste 301
Herndon, VA 201704469

Call 5717620500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

297 Herndon Pkwy Ste 301

Herndon, VA 201704469

Telephone 5717620500
Fax 5712418557

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Herndon and Virginia

58 active clinicians are listed under Behavior Analyst with a practice address in Herndon, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Herndon

0% of these 58 clinicians have the CMS telehealth indicator.

0% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0133001090

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 24, 2020

Registered at 297 HERNDON PKWY STE 301, HERNDON, VA 201704469 (Tel: 5717620500)

πŸ“
Updated Business Mailing Address July 24, 2020

Registered at 297 HERNDON PKWY STE 301, HERNDON, VA 201704469 (Tel: 5717620500)

πŸ‘€
Provider Name / Credentials Updated July 24, 2020

Recorded as KIMTRACY VILLARIN, BCBA, LBA

βœ…
NPI Profile Active February 09, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 09, 2018

Registered at 14186 ROYAL OAK LN, CENTREVILLE, VA 201203604 (Tel: 6304840298)

πŸ“
Updated Business Mailing Address February 09, 2018

Registered at 14186 ROYAL OAK LN, CENTREVILLE, VA 201203604 (Tel: 6304840298)

πŸ‘€
Provider Name / Credentials Updated February 09, 2018

Recorded as KIMTRACY VILLARIN, M.ED, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2018

Behavior Analyst (license number reported to NPPES: VA 0133001090)

βœ…
NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 22, 2016

Registered at 70 RENAUX BOULEVARD, SAINT CHALRES, IL 60175 (Tel: 6304840298)

πŸ“
Business Mailing Address (Initial Record) July 22, 2016

Registered at 2303 W LONGVIEW DRIVE, WOODBRIDGE, VA 221913001 (Tel: 6304840298)

πŸ‘€
Provider Name / Credentials (Initial Record) July 22, 2016

Recorded as KIMTRACY VILLARIN, BCABA, LABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Behavior Analyst (license number reported to NPPES: VA 0134000118)

🟒
Initial NPI Registration & Enumeration April 11, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659735157
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2016
Last Update: July 24, 2020
Sole Proprietor: No

Mailing Address

297 Herndon Pkwy Ste 301

Herndon, VA 201704469

Phone: 5717620500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.