Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356052377 Deactivated / Inactive NPI Female Practitioner

Fardawsa Hersi

Behavior Technician • Reston, VA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Fardawsa Hersi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2022
NPI Deactivation Date December 16, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Fardawsa Hersi was a registered Behavior Technician practicing in Reston, VA. Throughout an active medical career spanning 2 years, Fardawsa Hersi provided care at the practice location at 1800 ALEXANDER BELL DR STE 100 until profile deactivation on 2024-12-16.

Practice Location & Contact Primary Location

Practice Address

1800 Alexander Bell Dr Ste 100

Reston, VA 201914385

Telephone 5714951673
Associated Practice Facility / Clinic
🏢 The Pace Ellis Group Llc Facility NPI 1932063153

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Reston, VA (8027 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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
Barbara Medina Gonzalez

Behavior Technician

NPI 1134747520
Marqeese Sewell

Behavior Technician

NPI 1205525094
Advika Venkatesh

Behavior Technician

NPI 1225723224
Nicole Miranda-Montoya

Behavior Technician

NPI 1255012449
India Riddle

Behavior Technician

NPI 1346994266
Rishitha Anumola

Behavior Technician

NPI 1407479660

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated December 16, 2024

Record deactivated on December 16, 2024

⚠️
NPI Profile Deactivated December 15, 2024

Record deactivated on December 15, 2024

NPI Profile Active December 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2022

Registered at 1800 ALEXANDER BELL DR STE 100, RESTON, VA 201914385 (Tel: 5714951673)

📍
Updated Business Mailing Address December 09, 2022

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

👤
Provider Name / Credentials Updated December 09, 2022

Recorded as FARDAWSA HERSI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Fardawsa Hersi. Be the first to share your experience!

Sign in to leave a review for Fardawsa Hersi

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356052377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2022
Last Update: December 09, 2022
Deactivation Date: December 16, 2024

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Phone: 8183452345

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.