Rva Autism Academy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

RVA AUTISM ACADEMY

Doing business as

RVA Autism Academy

Practice address

5407 Park Ave
Richmond, VA 23226-2031

Phone

(757) 717-7393

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Danielle R Damico, BCBA, LBANPI 1043698269

Title

Bcba/Owner

Phone

(757) 717-7393

Specialties & licenses 6

Addresses

Other names 1

• RVA Autism Academy Doing business as

Practitioners 1

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

• Danielle Damico

  • Behavior Analyst
  • North Chesterfield, VA
  • NPI 1043698269
  NPD Authorized official

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1790440634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262031",
            "telephone_number": "757-717-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262031",
            "telephone_number": "757-717-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVA AUTISM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "757-717-7393",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RVA Autism Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shavonne M Russell, PTA
• Iolanda R Russo-Menna, MD
• Sophie Joan Rust
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• Early Intervention Provider Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Early Intervention Provider Agency in Virginia

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