Individual provider Active NPI

Madison Brittany Belen

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1083175780
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
B67207127 Issued in VA
Practice address
629 Phoenix Dr Ste 150
Virginia Beach, VA 23452-7341
Phone
(757) 837-0761
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 B67207127 VA Primary

Addresses

Primary practice location

629 Phoenix Dr Ste 150
Virginia Beach, VA 23452-7341

Mailing address

3437 Pasture LN
Virginia Beach, VA 23453-8535
Phone (757) 618-8347

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
B67207127VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1083175780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 PASTURE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538535",
            "telephone_number": "757-618-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 150",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527341",
            "telephone_number": "757-837-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELEN",
        "first_name": "MADISON",
        "middle_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "B67207127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.