Active NPI
Carly Trainor, MA, BCBA, LBA
- Behavior Analyst
- Bluemont, VA
National Provider Identifier
1124611512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001881
- Practice address
- 19723 Ridgeside Rd
Bluemont, VA 20135-2028 - Phone
- (703) 576-5700
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Behavior Analyst
- Coral Gables, FL
- NPI 1801494679
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001881 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health, LLC. | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001881 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
19723 Ridgeside Rd
Bluemont, VA 20135-2028
Mailing address
120 Fort Evans Rd SE Apt D
Leesburg, VA 20175-4135
Phone (908) 458-1502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2021.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1124611512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 FORT EVANS RD SE APT D",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754135",
"telephone_number": "908-458-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19723 RIDGESIDE RD",
"city": "BLUEMONT",
"state": "VA",
"postal_code": "201352028",
"telephone_number": "703-576-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAINOR",
"first_name": "CARLY",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluemont, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.