NPIMap

Organization Active NPI

CPB Behavioral Therapy and Advocacy Services, LLC

  • Behavior Analyst
  • Meadows of Dan, VA
National Provider Identifier
1245609098
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
013300310 Issued in VA
Legal business name
CPB BEHAVIORAL THERAPY AND ADVOCACY SERVICES, LLC
Practice address
1641 Belcher Mountain Rd.
Meadows of Dan, VA 24120-3672
Phone
(540) 840-9285
Fax
(540) 242-0742
NPI assigned
Sep 23, 2015
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Mrs. Crystal Sue Peterson Barker, BCBANPI 1811252083
Title
Owner/Managing Partner
Phone
(540) 840-9285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 013300310 VA Primary

Addresses

Primary practice location

1641 Belcher Mountain Rd.
Meadows of Dan, VA 24120-3672

Mailing address

1641 Belcher Mountain Rd.
Meadows of Dan, VA 24120-3672
Phone (540) 840-9285

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1245609098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 BELCHER MOUNTAIN RD.",
            "city": "MEADOWS OF DAN",
            "state": "VA",
            "postal_code": "241203672",
            "telephone_number": "540-840-9285",
            "fax_number": "540-242-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 BELCHER MOUNTAIN RD.",
            "city": "MEADOWS OF DAN",
            "state": "VA",
            "postal_code": "241203672",
            "telephone_number": "540-840-9285",
            "fax_number": "540-242-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPB BEHAVIORAL THERAPY AND ADVOCACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON BARKER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "540-840-9285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "013300310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadows of Dan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.