Informed Behavioral Health, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INFORMED BEHAVIORAL HEALTH, LLC

Practice address

2412 Southern Pines Dr
Chesapeake, VA 23323-4234

Phone

(812) 236-3234

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Audrey Rice, MA, LBA, BCBANPI 1417420183

Title

Founder, Clinical Director

Phone

(812) 236-3234

Specialties & licenses 1

Addresses

Practitioners 1

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

• Audrey A Rice

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1417420183
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1760200943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 SOUTHERN PINES DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234234",
            "telephone_number": "812-236-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 SOUTHERN PINES DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234234",
            "telephone_number": "812-236-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "FOUNDER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "812-236-3234",
        "authorized_official_credential": "MA, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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