NPIMap

Organization Active NPI

Seaside ABA Therapy, LLC

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1003499732
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SEASIDE ABA THERAPY, LLC
Practice address
3212 Lorton CT
Virginia Beach, VA 23452-7014
Phone
(757) 575-6820
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Valerie Siegel Diehl, BCBANPI 1477938512
Title
Board Certified Behavior Analyst
Phone
(757) 235-0997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3212 Lorton CT
Virginia Beach, VA 23452-7014

Mailing address

3212 Lorton CT
Virginia Beach, VA 23452-7014
Phone (757) 575-6820

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1003499732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 LORTON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527014",
            "telephone_number": "757-575-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 LORTON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527014",
            "telephone_number": "757-575-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "SIEGEL",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "757-235-0997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.