CRC Behavioral Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CRC BEHAVIORAL CONSULTING, LLC

Doing business as

CRC Behavioral Consulting, LLC

Practice address

4707 Retreat LN Apt 278
Fredericksburg, VA 22408-7816

Phone

(703) 973-3479

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Celia Kellerman, MSED, BCBA, LBANPI 1154822732

Title

Co-Owner

Phone

(703) 973-3479

Specialties & licenses 2

Addresses

Other names 1

• CRC Behavioral Consulting, LLC Doing business as

Practitioners 1

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

• Celia Kellerman, MSED, BCBA, LBA

  • Behavior Analyst
  • Stafford, VA
  • NPI 1154822732
  NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1710440268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PATINA PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320927602",
            "telephone_number": "703-973-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 RETREAT LN APT 278",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087816",
            "telephone_number": "703-973-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "KELLERMAN",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "703-973-3479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRC Behavioral Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRC Behavioral Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.