Dakota A Grizzle

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002160 Issued in VA

Practice address

3101 Magic Hollow Blvd
Virginia Beach, VA 23453

Phone

(757) 639-2218

NPI assigned

Jan 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Autism Consulting and Therapy, LLC

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1134352792
  NPD

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1780192617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAGIC HOLLOW BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533010",
            "telephone_number": "757-639-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAGIC HOLLOW BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23453",
            "telephone_number": "757-639-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4490 Holland Office Park Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521177",
            "country_code": "US",
            "telephone_number": "757-639-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "DAKOTA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakkia N Grimes, LCSW
• McClellan Grimm, PHARMD
• Maggie Grimmett
• James Francis Griswold, M.D.
• Laura B Grizzard, M.A. CCC-SLP
• Michelle Grohe, RD
• Grohler Hearing Aid Center, Inc.
• Bari L Grohler
• Mark Charles Grohler
• Rebecca Lynn Wood Grohler, BH-HIS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.