Behavioral Support Systems of VA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEHAVIORAL SUPPORT SYSTEMS OF VA

Practice address

11551 Nuckols Rd Ste R
Glen Allen, VA 23059-5565

Phone

(804) 591-6732

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Erin Smydra, BCBA

Title

Owner

Phone

(804) 591-6732

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Courtney Beavers

  • Behavior Analyst
  • Henrico, VA
  • NPI 1659192508
  NPD (past)
• Adam Dreyfus, BCBA

  • Behavior Analyst
  • Midlothian, VA
  • NPI 1558680025
  NPD (past)
• Karley Fazio

  • Assistant Behavior Analyst
  • Henrico, VA
  • NPI 1265253116
  NPD (past)

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1003674318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70463",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232550463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE R",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-591-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SUPPORT SYSTEMS OF VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "SMYDRA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-591-6732",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bartram
• April Bateman, LCSW
• Tiffany Batterton, CPNP
• Madoka Aoyama Bean
• Behavioral Medicine of Virginia Inc
• Meseret Belay
• Tonya Belknap Tufaro, MSN, FNP-BC
• Kennedy Bell
• Kerri Rudin Bell, M.ED., CCC-A
• Benchmark Physical Therapy of VA, LLC

• Community/Behavioral Health Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.