Individual provider Active NPI

Chemise Taylor, M.A.T, BCBA, LBA

  • Behavior Analyst
  • Woodbridge, VA
National Provider Identifier
1114461076
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11622233 Issued in VA
Practice address
12741 Darby Brook CT Ste 102
Woodbridge, VA 22192-2406
Phone
(571) 346-2300
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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 11622233 VA Primary

Addresses

Primary practice location

12741 Darby Brook CT Ste 102
Woodbridge, VA 22192-2406

Mailing address

12741 Darby Brook CT Ste 102
Woodbridge, VA 22192-2406
Phone (888) 467-8241

Other practice location 1

125 Mill St Unit 15
Occoquan, VA 22125-7732
Phone (888) 467-8241

Other practice location 2

302 Grosvenor Ln
Unit 202
Stafford, VA 22556-4606
Phone (248) 979-2770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@autismlearners.com

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
11622233VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learners Behavior Analyst CurrentSince May 1, 2022 Accepting new patients

Locations

125 Mill St
Unit 15
Occoquan, VA 22125
Phone (888) 467-8241

12741 Darby Brook Ct
Ste 102
Woodbridge, VA 22192
Phone (571) 346-2300

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1114461076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 DARBY BROOK CT STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922406",
            "telephone_number": "888-467-8241",
            "fax_number": "888-241-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 DARBY BROOK CT STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922406",
            "telephone_number": "571-346-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Mill St Unit 15",
            "address_purpose": "LOCATION",
            "city": "Occoquan",
            "state": "VA",
            "postal_code": "221257732",
            "country_code": "US",
            "telephone_number": "888-467-8241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Grosvenor Ln",
            "address_2": "Unit 202",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564606",
            "country_code": "US",
            "telephone_number": "248-979-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHEMISE",
        "name_prefix": "Ms.",
        "credential": "M.A.T,  BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "11622233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@autismlearners.com",
            "affiliation": "N",
            "address_1": "12741 Darby Brook Ct Ste 102",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.