Choice ABA Autism Services VA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHOICE ABA AUTISM SERVICES VA LLC

Practice address

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Phone

(877) 283-0066

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Malky Segal

Title

Member

Phone

(317) 975-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1285312223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "877-283-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE ABA AUTISM SERVICES VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "MALKY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-975-1144"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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