Rachel Bryant

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-107071 Issued in VA

Practice address

380 Cleveland PL
Virginia Beach, VA 23462-6529

Phone

(757) 416-5290

NPI assigned

Jul 29, 2019

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

State licenses

Practice roles

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.

• Your Life ABA VA, LLC

  • Behavior Analyst
  • New York, NY
  • NPI 1023772001
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1154975175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CLEVELAND PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626529",
            "telephone_number": "757-416-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CLEVELAND PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626529",
            "telephone_number": "757-416-5290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Independence Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205208",
            "country_code": "US",
            "telephone_number": "757-776-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Independence Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205208",
            "country_code": "US",
            "telephone_number": "757-776-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "19-107071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bengie Bryant
• Brooke Bryant
• Emmanuel Bryant
• Jessica Bryant
• Nin-Eanna Bryant
• Shawne Renee Bryant, M.D.
• Sophie Bryant
• Wendy Bryant
• Stephanie Michelle Brydie, AU.D
• Alyssa Brysiak

• Behavior Technician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.