Individual provider Active NPI

Kristen Grilli, BCABA

  • Assistant Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1154898278
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000266 Issued in VA
Practice address
1100 S Battlefield Blvd
Ste. 15309
Chesapeake, VA 23322-6619
Phone
(757) 769-9595
NPI assigned
Oct 26, 2018
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0134000266 VA Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1100 S Battlefield Blvd
Ste. 15309
Chesapeake, VA 23322-6619

Mailing address

1100 S Battlefield Blvd
Ste. 15309
Chesapeake, VA 23322-6619

Other practice location 1

709 Quince Pl
Chesapeake, VA 23320-0769
Phone (757) 333-1861

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
0134000266VAMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1154898278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S BATTLEFIELD BLVD",
            "address_2": "STE. 15309",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S BATTLEFIELD BLVD",
            "address_2": "STE. 15309",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226619",
            "telephone_number": "757-769-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Quince Pl",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233200769",
            "country_code": "US",
            "telephone_number": "757-333-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRILLI",
        "first_name": "KRISTEN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000266",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.