Active NPI
Connex Family Services
- Behavior Analyst
- Gloucester, VA
National Provider Identifier
1770087546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CONNEX FAMILY SERVICES
- Practice address
- 6948 Main Street Ste. 12
Gloucester, VA 23061 - Phone
- (757) 778-7964
- NPI assigned
- Mar 19, 2018
- Last updated
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bianca Riddle
- Title
- Owner
- Phone
- (804) 832-2272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
6948 Main Street Ste. 12
Gloucester, VA 23061
Mailing address
PO Box 621
Ark, VA 23003-0621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1770087546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621",
"city": "ARK",
"state": "VA",
"postal_code": "230030621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6948 MAIN STREET STE. 12",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "23061",
"telephone_number": "757-778-7964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNEX FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-19",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "BIANCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-832-2272"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, VA
- Joshua A Coleman
- Erica Colson
- Commonweatlh of Virginia State Board of Health (Gloucester County Health Department)
- Elizabeth Heather Congrove
- Megan Connelly Grothaus
- Constellation Psychiatry & Wellness
- Natalie Conway, PT, MPT, OCS, ATC
- Courthouse Family Medicine, PLLC
- Courthouse Pediatric Dentistry PLLC
- Andrea Bach Crawford, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.