Obx Autism Behavior Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

OBX AUTISM BEHAVIOR THERAPY INC

Practice address

900 Trevor CT
Chesapeake, VA 23322-8917

Phone

(252) 232-8892

Fax

(252) 558-0496

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lorena O Decker, BCBANPI 1831476472

Title

President

Phone

(407) 276-1042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lorena Decker, BCBA

  • Behavior Analyst
  • Chesapeake, VA
  • NPI 1831476472
  NPD Authorized official

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1053671735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TREVOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228917",
            "telephone_number": "407-276-1042",
            "fax_number": "252-558-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TREVOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228917",
            "telephone_number": "252-232-8892",
            "fax_number": "252-558-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 N Military Hwy",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023638",
            "country_code": "US",
            "telephone_number": "252-232-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBX AUTISM BEHAVIOR THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-276-1042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.