Individual provider Active NPI

Andrew Paul Harrelson, BCABA, LABA

  • Assistant Behavior Analyst
  • North Chesterfield, VA
National Provider Identifier
1740949510
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000409 Issued in VA
Practice address
221 Stonebridge Plaza Ave
North Chesterfield, VA 23225-6972
Phone
(804) 378-6141
NPI assigned
Dec 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X 0134000409 VA Primary

Addresses

Primary practice location

221 Stonebridge Plaza Ave
North Chesterfield, VA 23225-6972

Mailing address

800 Macpherson Cir Apt 312
Midlothian, VA 23114-4202
Phone (804) 929-2130

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

State licenses

LicenseStateTypeSpecialty
0134000409VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Transformation Group, LLC Multi-Specialty CurrentSince Dec 12, 2021 Accepting new patients

Locations

221 Stonebridge Plaza Ave
North Chesterfield, VA 23225
Phone (804) 378-6141

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1740949510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MACPHERSON CIR APT 312",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144202",
            "telephone_number": "804-929-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STONEBRIDGE PLAZA AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232256972",
            "telephone_number": "804-378-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "BCABA, LABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.