Sunrise Therapeutic Services of VA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUNRISE THERAPEUTIC SERVICES OF VA, LLC

Practice address

219 E Atlantic St
South Hill, VA 23970-2003

Phone

(540) 312-8814

NPI assigned

Jun 8, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Spahr White, MS, M.ED., BCBA, LBANPI 1790525392

Title

Owner, Behavior Analyst

Phone

(540) 312-8814

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Spahr White, M.ED., BCBA, LBA

  • Behavior Analyst
  • South Hill, VA
  • NPI 1790525392
  NPD Authorized official

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1770325029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BEECHWOOD RD",
            "city": "BRACEY",
            "state": "VA",
            "postal_code": "239191630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702003",
            "telephone_number": "540-312-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THERAPEUTIC SERVICES OF VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SPAHR",
        "authorized_official_title_or_position": "OWNER, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "540-312-8814",
        "authorized_official_credential": "MS, M.ED., BCBA, LBA"
    },
    "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 South Hill, VA
• Providers in South Hill, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.