Active NPI
Crystal Marie Reams, BCBA, LBA
- Behavior Analyst
- Amelia Court House, VA
National Provider Identifier
1588165484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12031 Old Chula Rd
Amelia Court House, VA 23002-4000 - Phone
- (804) 836-9073
- NPI assigned
- Feb 26, 2018
- Last updated
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
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 | VA | Primary |
Addresses
Primary practice location
12031 Old Chula Rd
Amelia Court House, VA 23002-4000
Mailing address
12031 Old Chula Rd
Amelia Court House, VA 23002-4000
Phone (804) 836-9073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T61945412 | Other | VA | DRIVER'S LICENSE |
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": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1588165484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12031 OLD CHULA RD",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024000",
"telephone_number": "804-836-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12031 OLD CHULA RD",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024000",
"telephone_number": "804-836-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAMS",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2022-11-10",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "T61945412",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amelia Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.