NPIMap

Organization Active NPI

Kids Connected Behavioral Consulting LLC

  • Early Intervention Provider Agency
  • Henrico, VA
National Provider Identifier
1609292572
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0133000819 Issued in VA
Legal business name
KIDS CONNECTED BEHAVIORAL CONSULTING LLC
Practice address
3420 Pump Rd # 290
Henrico, VA 23233-1111
Phone
(804) 937-3394
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Ms. Britney Marie Vaccaro, BCBA, LBA
Title
Clinical Supervisor
Phone
(804) 937-3394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0133000819 VA Primary

Addresses

Primary practice location

3420 Pump Rd # 290
Henrico, VA 23233-1111

Mailing address

3420 Pump Rd # 290
Henrico, VA 23233-1111
Phone (804) 937-3394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1609292572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 PUMP RD # 290",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331111",
            "telephone_number": "804-937-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 PUMP RD # 290",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331111",
            "telephone_number": "804-937-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CONNECTED BEHAVIORAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "804-937-3394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "0133000819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.