Channel Behavioral Care VA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHANNEL BEHAVIORAL CARE VA LLC

Doing business as

Channel ABA

Practice address

425 W Washington St Ste 4
Suffolk, VA 23434-5320

Phone

(646) 238-4930

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Simcha Silberman

Title

Director

Phone

(646) 238-4930

Specialties & licenses 2

Addresses

Other names 1

• Channel ABA Doing business as

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1205643764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281906",
            "telephone_number": "646-238-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W WASHINGTON ST STE 4",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345320",
            "telephone_number": "646-238-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL BEHAVIORAL CARE VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SILBERMAN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-238-4930"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.