Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083193890 Individual Practitioner Male Practitioner

Ethan Katz , MED, BCBA, LBA

Behavior Analyst • Springfield, VA

Professional Overview & Biography Verified Profile Summary

Ethan Katz, MED, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Springfield, VA. Practice services are available at 6563 EDSALL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6563 Edsall Rd

Springfield, VA 221514414

Telephone 7033540000
Associated Practice Facility / Clinic
🏢 Multicultural Clinical Center Facility NPI 1952360612

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Springfield, VA

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

Practicing in Springfield, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-18-30640

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Behavior Analyst Certification Board
1-18-30640
Commercial Insurance / Payer ID Virginia Department Of Health Professionals
0133001179 (VA)

Secondary Practice Locations

6563 Edsall Rd

Springfield, VA 221514414

Phone: 7033540000

Practice Associates & Co-Workers

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

17 Associated Practitioners
Jose Silva , LCSW

Counselor - Addiction (Substance Use Disorder)

NPI 1013844497

Licensed Clinical Social Worker

Rebecca Keegan

Social Worker - Clinical

NPI 1104441799
Wendolyn Morris Montes

Student in an Organized Health Care Education/Training Program

NPI 1104742568
Alvaro Alarcon

Counselor - Professional

NPI 1164348702
NPI 1427974187
Adeela Shah , BCBA

Behavior Analyst

NPI 1487116919

Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2018

Registered at 6563 EDSALL RD, SPRINGFIELD, VA 221514414 (Tel: 7033540000)

📍
Updated Business Mailing Address August 13, 2018

Registered at 3819 PRINCE WILLIAM DR, FAIRFAX, VA 220313820 (Tel: 7033463185)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as ETHAN KATZ, M.ED, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Behavior Analyst (License #1-18-30640 in None)

🟢
Initial NPI Registration & Enumeration August 13, 2018

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: 1083193890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2018
Last Update: August 13, 2018
Sole Proprietor: No

Mailing Address

3819 Prince William Dr

Fairfax, VA 220313820

Phone: 7033463185

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.