Active NPI
Katelyn Marie Lager
- Behavior Technician
- Virginia Beach, VA
National Provider Identifier
1821861402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-306868
- Practice address
- 544 Newtown Rd Unit 110
Virginia Beach, VA 23462-5603 - Phone
- (224) 206-5001
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-306868 | VA | Primary |
Addresses
Primary practice location
544 Newtown Rd Unit 110
Virginia Beach, VA 23462-5603
Mailing address
610 N Briston CT
Norfolk, VA 23505-1394
Phone (760) 608-9123
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-306868 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1821861402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N BRISTON CT",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235051394",
"telephone_number": "760-608-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 NEWTOWN RD UNIT 110",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625603",
"telephone_number": "224-206-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGER",
"first_name": "KATELYN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-23-306868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.