Organization Active NPI

Foundational Intervention and Therapy

  • Behavior Analyst
  • Gloucester, VA
National Provider Identifier
1053856328
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-22944 Issued in VA
Legal business name
FOUNDATIONAL INTERVENTION AND THERAPY
Practice address
7082 Wellford LN
Gloucester, VA 23061-5113
Phone
(804) 815-1259
Fax
(804) 694-0694
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Mrs. Sharon Patterson McGlohn, BCBA
Title
Owner/Bcba
Phone
(804) 815-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-16-22944 VA Primary

Addresses

Primary practice location

7082 Wellford LN
Gloucester, VA 23061-5113

Mailing address

7082 Wellford LN
Gloucester, VA 23061-5113
Phone (804) 815-1259

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1053856328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7082 WELLFORD LN",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615113",
            "telephone_number": "804-815-1259",
            "fax_number": "804-694-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7082 WELLFORD LN",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615113",
            "telephone_number": "804-815-1259",
            "fax_number": "804-694-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL INTERVENTION AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "MCGLOHN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "804-815-1259",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-16-22944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.