Individual provider Active NPI

Shirley L Krieger, MA, BCBA

  • Behavior Analyst
  • Williamsburg, VA
National Provider Identifier
1720633233
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
356 McLaws Cir Ste 2
Williamsburg, VA 23185-6345
Phone
(757) 849-8170
Fax
(757) 706-3550
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001477 VA
Behavior Analyst 103K00000X VA Primary

Addresses

Primary practice location

356 McLaws Cir Ste 2
Williamsburg, VA 23185-6345

Mailing address

356 McLaws Cir Ste 2
Williamsburg, VA 23185-6345
Phone (757) 849-8170

Other identifiers 1

IdentifierTypeStateIssuer
14534142OtherVACAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Williamsburg Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0133001477VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Brillant Minds ABA Inc Behavior Analyst Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1720633233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MCLAWS CIR STE 2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856345",
            "telephone_number": "757-849-8170",
            "fax_number": "757-706-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MCLAWS CIR STE 2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856345",
            "telephone_number": "757-849-8170",
            "fax_number": "757-706-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "SHIRLEY",
        "middle_name": "L",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001477",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14534142",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Williamsburg",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "356 McLaws Cir Ste 2",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231856345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.