NPIMap

Organization Active NPI

Our Child Therapy VA LLC

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1275251084
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OUR CHILD THERAPY VA LLC
Practice address
5300 Kempsriver Dr
Virginia Beach, VA 23464-5369
Phone
(917) 974-9300
NPI assigned
Aug 17, 2022
Organization subpart
Yes
Parent organization
OUR CHILD THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mashe Moshe
Title
Owner
Phone
(848) 226-4806

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

5300 Kempsriver Dr
Virginia Beach, VA 23464-5369

Mailing address

211 Blvd of the Americas
Suite 303
Lakewood, NJ 08701
Phone (917) 974-9300

National Provider Directory

National Provider Directory
Part of
Our Child Therapy

Locations

5300 Kempsriver Dr
Virginia Beach, VA 23464
Phone (757) 866-2715

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1275251084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BLVD OF THE AMERICAS",
            "address_2": "SUITE 303",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "917-974-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KEMPSRIVER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645369",
            "telephone_number": "917-974-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHILD THERAPY VA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR CHILD THERAPY LLC",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "MASHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-226-4806"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 25, 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.