Ayzia Bumbrey

Key facts

NPI

1083100770

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

Practice address

648 Independence Pkwy
Chesapeake, VA 23320-5206

Phone

(757) 716-7067

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 5, 2018.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1083100770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FIRETHORN RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203507",
            "telephone_number": "540-455-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 INDEPENDENCE PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205206",
            "telephone_number": "757-716-7067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Firethorn Rd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203507",
            "country_code": "US",
            "telephone_number": "540-455-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMBREY",
        "first_name": "AYZIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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