Arisa Phelps, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67512 Issued in VA

Practice address

2206 Executive Dr Ste a
Hampton, VA 23666-2583

Phone

(757) 664-9778

Fax

(757) 903-0114

NPI assigned

Apr 5, 2018

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.

• Genesis Autism Center, LLC

  • Behavior Analyst
  • Hampton, VA
  • NPI 1487399390
  NPD (past)
• Coastal Autism Therapy Center, Inc.

  • Community/Behavioral Health Agency
  • Pooler, GA
  • NPI 1447488945
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1235635442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 EXECUTIVE DR STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662583",
            "telephone_number": "757-664-9778",
            "fax_number": "757-903-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 EXECUTIVE DR STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662583",
            "telephone_number": "757-664-9778",
            "fax_number": "757-903-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Pipemakers Cir Ste 116",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224168",
            "country_code": "US",
            "telephone_number": "912-330-7171",
            "fax_number": "888-413-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Stephenson Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055841",
            "country_code": "US",
            "telephone_number": "912-349-2479",
            "fax_number": "615-815-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ARISA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-18-52759",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-23-67512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Linda Petitjean, MD
• PF Place Assisted Living Facility
• Anh K Pham, M.D.
• Tram Pham
• Hoa Quang Phan
• Phenomenal Care, LLC
• Christopher Devon Phillips, TAXI
• Melvin Phillips, LCSW
• Lesley-Anne Phu
• Marianna Lovick Pierce, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.