Individual provider Active NPI

Emily Hillard Grimsley, M.S.ED., BCBA, LBA

  • Behavior Analyst
  • Norfolk, VA
National Provider Identifier
1619350071
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000617 Issued in VA
Practice address
7460 Central Business Park Dr
Norfolk, VA 23513-2818
Phone
(757) 644-6391
Fax
(757) 622-2011
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 0133000617 VA Primary

Addresses

Primary practice location

7460 Central Business Park Dr
Norfolk, VA 23513-2818

Mailing address

7460 Central Business Park Dr
Norfolk, VA 23513-2818
Phone (757) 644-6391

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
0133000617VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1619350071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132818",
            "telephone_number": "757-644-6391",
            "fax_number": "757-622-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132818",
            "telephone_number": "757-644-6391",
            "fax_number": "757-622-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "EMILY",
        "middle_name": "HILLARD",
        "credential": "M.S.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.