Individual provider Active NPI

Villey Ivan Tidwell

  • Behavior Analyst
  • Norfolk, VA
National Provider Identifier
1811449382
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001995 Issued in VA
Practice address
500 E Main St Ste 1600
Norfolk, VA 23510-2206
Phone
(757) 737-3560
NPI assigned
Oct 31, 2016
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001995 VA Primary

Addresses

Primary practice location

500 E Main St Ste 1600
Norfolk, VA 23510-2206

Mailing address

500 E Main St Ste 1600
Norfolk, VA 23510-2206
Phone (757) 737-3560

Other practice location 1

629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392
Phone (757) 737-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0133001995VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Villhavior ABA LLC Behavior Analyst Current Accepting new patients
Ascend With ABA PLLC Behavior Analyst PastSince Aug 1, 2023 Accepting new patients

Locations

500 E Main St
Ste 1600
Norfolk, VA 23510
Phone (757) 240-7522

629 Phoenix Dr
Ste 115
Virginia Beach, VA 23452
Phone (757) 261-4475

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1811449382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 1600",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102206",
            "telephone_number": "757-737-3560",
            "fax_number": "844-238-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 1600",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102206",
            "telephone_number": "757-737-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Phoenix Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527392",
            "country_code": "US",
            "telephone_number": "757-737-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "VILLEY",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.