Active NPI
Andreya Michael Weaver
- Behavior Analyst
- Bridgeport, OH
National Provider Identifier
1669135489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73332
- Practice address
- 68583 Scott St.
Bridgeport, OH 43912 - Phone
- (740) 298-7078
- NPI assigned
- Oct 19, 2021
- 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 | 1-24-73332 | Primary |
Addresses
Primary practice location
68583 Scott St.
Bridgeport, OH 43912
Mailing address
PO Box 775
Barton, OH 43905-0775
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@valleybh.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Saint Clairsville, OH
- NPI 1548700180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1669135489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775",
"city": "BARTON",
"state": "OH",
"postal_code": "439050775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68583 SCOTT ST.",
"city": "BRIDGEPORT",
"state": "OH",
"postal_code": "43912",
"telephone_number": "740-298-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ANDREYA",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-73332",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@valleybh.com",
"affiliation": "N",
"address_1": "68583 Scott St.",
"city": "Bridgeport",
"state": "OH",
"country_code": "US",
"postal_code": "43912",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bridgeport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.