Healthcare Provider Details

I. General information

NPI: 1497343701
Provider Name (Legal Business Name): AUTISM FIRST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 ELDEN ST STE 302
HERNDON VA
20170-4851
US

IV. Provider business mailing address

131 ELDEN ST STE 302
HERNDON VA
20170-4851
US

V. Phone/Fax

Practice location:
  • Phone: 703-496-4371
  • Fax: 703-435-4021
Mailing address:
  • Phone: 703-496-4371
  • Fax: 703-435-4021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY B FASCHING
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 540-486-5910