Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184198418 Individual Practitioner Female Practitioner

Larisa Ayn Manzo , BCBA

Behavior Analyst • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Larisa Manzo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Chantilly, VA. Practice services are available at 3855 CENTERVIEW DR STE 400B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3855 Centerview Dr Ste 400b

Chantilly, VA 201513285

Telephone 8548441116

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Chantilly, VA (2797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License VA 0133001741

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.

Secondary Practice Locations

102 Westlake Dr Ste 105

West Lake Hills, TX 787469818

Phone: 5128137272

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023732351

BEHAVIORTECHNICIAN

NPI 1033827092

BEHAVIORTECHNICIAN

NPI 1033831995

BEHAVIORTECHNICIAN

Kilah Westberry

Behavior Technician

NPI 1104531987
NPI 1144942103

BEHAVIORTECHNICIAN

Melanie Luckett , RBT-19-

Behavior Technician

NPI 1164948832

RBT19

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Behavior Analyst (License #0133001741 in VA)

📍
Updated Practice Location September 27, 2022

Registered at 3855 CENTERVIEW DR STE 400B, CHANTILLY, VA 201513285 (Tel: 8548441116)

📍
Updated Business Mailing Address September 27, 2022

Registered at 1500 DOUGLAS RD, SUITE 230, CORAL GABLES, FL 331347807 (Tel: 8548441116)

NPI Profile Active January 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2019

Registered at 102 WESTLAKE DR STE 105, WEST LAKE HILLS, TX 787469818 (Tel: 5128137272)

📍
Updated Business Mailing Address January 21, 2019

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

👤
Provider Name / Credentials Updated January 21, 2019

Recorded as LARISA MANZO, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2019

Behavior Analyst (License #2609 in TX)

🟢
Initial NPI Registration & Enumeration January 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184198418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2019
Last Update: March 19, 2024
Sole Proprietor: No

Mailing Address

1500 Douglas Rd, Suite 230

Coral Gables, FL 331347807

Phone: 8548441116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.