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Kelly Lee Eakin , BCBA

Behavior Analyst β€’ Stafford, VA

Active NPI 1669794368 Individual Practitioner Female Practitioner
Practice location in NPPES

804 Telegraph Rd Ste 220
Stafford, VA 225544810

Call 5712511859 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

804 Telegraph Rd Ste 220

Stafford, VA 225544810

Telephone 5712511859
Fax 7035461761
Organization at the Same NPPES Address or Phone
Behavioral Therapy And Consultation Va Llc Facility NPI 1295059418

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

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 Stafford and Virginia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stafford

0% of these 62 clinicians have the CMS telehealth indicator.

0% of these 62 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: 2022-10-04
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 1-09-6402

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

7 Historical Events
πŸ“
Updated Practice Location October 04, 2022

Registered at 804 TELEGRAPH RD STE 220, STAFFORD, VA 225544810 (Tel: 5712511859)

βœ…
NPI Profile Active February 22, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 22, 2010

Registered at 3073 ANTRIM CIR, DUMFRIES, VA 220263319 (Tel: 5712511859)

πŸ“
Business Mailing Address (Initial Record) February 22, 2010

Registered at 12359 SUNRISE VALLEY DR, SUITE 220, RESTON, VA 201913462 (Tel: 5712511859)

πŸ‘€
Provider Name / Credentials (Initial Record) February 22, 2010

Recorded as KELLY EAKIN, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2010

Behavior Analyst (license number reported to NPPES: VA 1-09-6402)

🟒
Initial NPI Registration & Enumeration February 22, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669794368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2010
Last Update: October 04, 2022
Sole Proprietor: Yes

Mailing Address

12359 Sunrise Valley Dr, Suite 220

Reston, VA 201913462

Phone: 5712511859

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.