Active NPI
Lori Beatty, BCABA
- Assistant Behavior Analyst
- Chesapeake, VA
National Provider Identifier
1205343209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0134000278
- Practice address
- 4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154 - Phone
- (757) 373-2324
- NPI assigned
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0134000278 | VA | Primary |
Addresses
Primary practice location
4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154
Mailing address
120 Brayview Dr
Moyock, NC 27958-9272
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lori@cpabatherapy.com | CPABA Therapy, LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0134000278 | VA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1205343209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BRAYVIEW DR",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589272"
},
{
"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": "757-373-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "LORI",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "VA",
"license": "0134000278",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lori@cpabatherapy.com",
"affiliation": "Y",
"affiliationName": "CPABA Therapy, LLC",
"address_1": "4225 Portsmouth Blvd Ste B",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233212154",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.