NPIMap

Organization Active NPI

SJC Behavior Therapy & Consulting LLC

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1548791007
Registry record updated Mar 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000355 Issued in VA
Legal business name
SJC BEHAVIOR THERAPY & CONSULTING LLC
Practice address
5045 Madeira Rd
Virginia Beach, VA 23455-3956
Phone
(757) 339-4198
NPI assigned
Mar 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2017

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

Authorized official

Name
Mrs. Maria Chona Decastro, BCBANPI 1467763235
Title
Owner/President
Phone
(757) 339-4198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 0133000355 VA Primary

Addresses

Primary practice location

5045 Madeira Rd
Virginia Beach, VA 23455-3956

Mailing address

5045 Madeira Rd
Virginia Beach, VA 23455-3956
Phone (757) 339-4198

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1548791007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 MADEIRA RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553956",
            "telephone_number": "757-339-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 MADEIRA RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553956",
            "telephone_number": "757-339-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC BEHAVIOR THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CHONA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-339-4198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000355",
            "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 Mar 25, 2017; 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.