Active NPI
Paula Anne Traverse-Charlton
- Behavior Analyst
- Virginia Beach, VA
National Provider Identifier
1255646667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 113
- Practice address
- 412 Investors PL Ste 102
Virginia Beach, VA 23452-1185 - Phone
- (757) 497-6111
- Fax
- (757) 497-6117
- NPI assigned
- Aug 10, 2010
- Last updated
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 113 | VA | Primary |
Addresses
Primary practice location
412 Investors PL Ste 102
Virginia Beach, VA 23452-1185
Mailing address
412 Investors PL Ste 102
Virginia Beach, VA 23452-1185
Phone (757) 497-6111
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 |
|---|---|---|---|
| 113 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1255646667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 INVESTORS PL STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521185",
"telephone_number": "757-497-6111",
"fax_number": "757-497-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 INVESTORS PL STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521185",
"telephone_number": "757-497-6111",
"fax_number": "757-497-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERSE-CHARLTON",
"first_name": "PAULA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.