Active NPI
Devan Taylor Phelps
- Behavior Analyst
- Midlothian, VA
National Provider Identifier
1255679072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4100 Price Club Blvd
Midlothian, VA 23112-3379 - Phone
- (804) 674-8888
- NPI assigned
- Jan 29, 2013
- 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 | Primary |
Addresses
Primary practice location
4100 Price Club Blvd
Midlothian, VA 23112-3379
Mailing address
7716 Valencia Rd
Chesterfield, VA 23832-7647
Phone (804) 245-4000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1255679072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7716 VALENCIA RD",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238327647",
"telephone_number": "804-245-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 PRICE CLUB BLVD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123379",
"telephone_number": "804-674-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "DEVAN",
"middle_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.