Individual provider Active NPI

Lori Beatty, BCABA

  • Assistant Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1205343209
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000278 Issued in VA
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
0134000278VAMDAssistant 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.

Verify at the official NPI Registry.