Charlize Taylor

Individual provider Active NPI Behavior Technician · Virginia Beach, VA

NPI 1023946209 · NPPES record last updated May 11, 2026

Key facts

NPI
1023946209
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
196 Waverly Dr
Virginia Beach, VA 23452-4330
Phone
(757) 450-0383
Fax
(757) 296-0029
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lark Therapy Group LLC Past
since Jan 7, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X VA Yes

Addresses

Primary practice location

196 Waverly Dr
Virginia Beach, VA 23452-4330

Mailing address

196 Waverly Dr
Virginia Beach, VA 23452-4330
Phone (757) 450-0383

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.