Organization Active NPI

Lumapaths Behavioral Services, PLLC.

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1710348339
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000525 Issued in VA
Legal business name
LUMAPATHS BEHAVIORAL SERVICES, PLLC.
Practice address
629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392
Phone
(757) 932-9057
Fax
(757) 743-9004
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mr. Wesley Shaw, MAT, BCBA, LBANPI 1821459223
Title
Founder & Executive Director
Phone
(757) 932-9057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 0133000525 VA Primary

Addresses

Primary practice location

629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392

Mailing address

629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392
Phone (757) 932-9057

National Provider Directory

National Provider Directory

Locations

2085 Lynnhaven Pkwy
Ste 106
Virginia Beach, VA 23456
Phone (347) 623-8418

629 Phoenix Dr
Ste 115
Virginia Beach, VA 23452
Phone (757) 261-4475

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1710348339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527392",
            "telephone_number": "757-932-9057",
            "fax_number": "757-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527392",
            "telephone_number": "757-932-9057",
            "fax_number": "757-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMAPATHS BEHAVIORAL SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-932-9057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAT, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

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

Verify at the official NPI Registry.