Individual provider Active NPI

Audrey A Rice

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1417420183
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0134000414 Issued in VA
Practice address
215 E Chickasaw Rd
Virginia Beach, VA 23462-3906
Phone
(757) 450-8507
NPI assigned
Jan 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0134000414 VA Primary

Addresses

Primary practice location

215 E Chickasaw Rd
Virginia Beach, VA 23462-3906

Mailing address

215 E Chickasaw Rd
Virginia Beach, VA 23462-3906
Phone (757) 450-8507

Other practice location 1

4560 South Blvd
Virginia Beach, VA 23452-1160
Phone (757) 490-3223

Other identifiers 2

IdentifierTypeStateIssuer
RBT-18-59657OtherVARBT
BACB438846OtherBCBA

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

LicenseStateTypeSpecialty
0134000414VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Informed Behavioral Health, LLC Behavior Analyst Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1417420183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E CHICKASAW RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623906",
            "telephone_number": "757-450-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E CHICKASAW RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623906",
            "telephone_number": "757-450-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 South Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521160",
            "country_code": "US",
            "telephone_number": "757-490-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "AUDREY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "RBT-18-59657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "BACB438846",
            "state": null
        }
    ],
    "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 May 25, 2022; 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.