Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215621388 Individual Practitioner Female Practitioner

Shamim Hamidzadeh , BCBA

Behavior Analyst • Broadlands, VA

Professional Overview & Biography Verified Profile Summary

Shamim Hamidzadeh, BCBA is a registered healthcare professional specializing in Behavior Analyst in Broadlands, VA. Practice services are available at 21576 IREDELL TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21576 Iredell Ter

Broadlands, VA 201485033

Telephone 5107387709
Fax 8443330432
Associated Practice Facility / Clinic
🏢 Rejoice Health Inc. Facility NPI 1659976934

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Broadlands, VA

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

Practicing in Broadlands, 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: 2025-10-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License VA 0133004694

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License VA RBT-22-213394

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.

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1023741089
Benjamin Mondoro

Behavior Technician

NPI 1023873726
Yuyada Tesfay

Behavior Technician

NPI 1144930819
Emmah Mccollum

Behavior Technician

NPI 1356278972
Taryn Roane

Behavior Technician

NPI 1487367991
NPI 1508599499

BEHAVIORTECHNICIAN

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated October 21, 2025

Recorded as SHAMIM HAMIDZADEH, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2025

Behavior Analyst (License #0133004694 in VA)

NPI Profile Active June 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2023

Registered at 21576 IREDELL TER, BROADLANDS, VA 201485033 (Tel: 5107387709)

📍
Updated Business Mailing Address June 02, 2023

Registered at 21576 IREDELL TER, BROADLANDS, VA 201485033 (Tel: 5107387709)

👤
Provider Name / Credentials Updated June 02, 2023

Recorded as SHAMIM HAMIDZADEH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2023

Behavior Technician (License #RBT-22-213394 in VA)

🟢
Initial NPI Registration & Enumeration June 02, 2023

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: 1215621388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2023
Last Update: October 21, 2025
Sole Proprietor: No

Mailing Address

21576 Iredell Ter

Broadlands, VA 201485033

Phone: 5107387709

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.