Brittany Leah Bollenberg, MED, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154

Phone

(757) 292-4774

Fax

(757) 215-2863

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1144738071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 HOLLAND OFFICE PARK STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 PORTSMOUTH BLVD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212154",
            "telephone_number": "757-292-4774",
            "fax_number": "757-215-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLENBERG",
        "first_name": "BRITTANY",
        "middle_name": "LEAH",
        "credential": "MED, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bogema-Oswalt, RBT, M.A., CAS, NCSP
• Erin Marie Boger
• Cassandra Bogosian, COTA/L
• Kawena Rose Bohn, PA-C
• Albert Dean Bohon Jr., O.D.
• Krishna Bolling, LMSW
• Kendra L Bomgardner, MOT, ORT/L
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center Inc
• Tonya Bond, RESIDENT IN COUNSELI

• Assistant Behavior Analyst in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Assistant Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.