Prospective Skills, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROSPECTIVE SKILLS, LLC

Practice address

104 Basalt Dr
Fredericksburg, VA 22406-7228

Phone

(540) 424-7721

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Jamie Diane Campbell, M.ED, BCBA ,LBANPI 1336707504

Title

Owner, Bcba

Phone

(540) 424-7721

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie D Campbell

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1336707504
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1609578186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CYPRESS MANOR CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404052",
            "telephone_number": "540-424-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BASALT DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067228",
            "telephone_number": "540-424-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECTIVE SKILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER, BCBA",
        "authorized_official_telephone_number": "540-424-7721",
        "authorized_official_credential": "M.ED, BCBA ,LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336707504",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fredericksburg, VA
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• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.