Individual provider Active NPI

Arielle Michelle Mabry, BCABA, LABA

  • Behavior Analyst
  • North Chesterfield, VA
National Provider Identifier
1043645138
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
103K00000X Issued in VA
Practice address
11311 Business Center Dr Ste C
North Chesterfield, VA 23236
Phone
(804) 378-6141
Fax
(804) 378-6183
NPI assigned
Sep 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 103K00000X VA Primary

Addresses

Primary practice location

11311 Business Center Dr Ste C
North Chesterfield, VA 23236

Mailing address

11311 Business Center Dr
North Chesterfield, VA 23236-3199
Phone (804) 712-4713

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103K00000XVAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Transformation Group, LLC Behavior Analyst PastSince Sep 7, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1043645138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BUSINESS CENTER DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363199",
            "telephone_number": "804-712-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BUSINESS CENTER DR STE C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23236",
            "telephone_number": "804-378-6141",
            "fax_number": "804-378-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ARIELLE",
        "middle_name": "MICHELLE",
        "credential": "BCABA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-07",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.