IndividualActive
Stephan Al-Khateeb, M.ED.
NPI 1164055232 · Behavior Technician · Fairfax, VA
Provider details
- NPI number
- 1164055232
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- M.ED.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Phone: (571) 585-3999
Street-level locationGet directions
Mailing address
11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Additional practice locations (2)
- 11200 Waples Mill Rd Ste 200Fairfax, VA 22030-7551Phone: (703) 237-2219
- 11240 Waples Mill Rd Ste 101Fairfax, VA 22030-6078Phone: (703) 237-2219Fax: (703) 237-2729
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.