Rachel Nicole Evans, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001224 Issued in VA

Practice address

111 Nevermore Dr
Winchester, VA 22602-7821

Phone

(703) 727-9417

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Old Town ABA, LLC

  • Behavior Analyst
  • Winchester, VA
  • NPI 1689257354
  NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1174095103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEVERMORE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEVERMORE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027821",
            "telephone_number": "703-727-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Biscane Ct",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226026885",
            "country_code": "US",
            "telephone_number": "703-727-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Jubal Early Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016508",
            "country_code": "US",
            "telephone_number": "540-431-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oldtownaba.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "111 Nevermore Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226027821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Essiaw
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• Frances Russell Evans, M.D.
• Wayne Thomas Evans, PTA
• Evergreen SNF Operations LLC
• Tina W Eversole, ED.S.
• Emma Pitcock Everson, OTR/L
• Katie Everson, OTD, OTR/L

• Behavior Analyst in Winchester, VA
• Providers in Winchester, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.