Blue Sky Behavior Analysis, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9500 Issued in VA

Legal business name

BLUE SKY BEHAVIOR ANALYSIS, LLC

Practice address

2690 Ed Jones Rd
Charlottesville, VA 22902-7973

Phone

(304) 312-5374

Fax

(703) 594-4593

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Rachel A Conner, M.S. ED., BCBA, NCC

Title

Board Certified Behavior Analyst

Phone

(304) 312-5374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1629326327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 ED JONES RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027973",
            "telephone_number": "304-312-5374",
            "fax_number": "703-594-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 ED JONES RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027973",
            "telephone_number": "304-312-5374",
            "fax_number": "703-594-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "304-312-5374",
        "authorized_official_credential": "M.S. ED., BCBA, NCC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-11-9500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.