Individual provider Active NPI

Lorena Decker, BCBA

  • Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1831476472
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000595 Issued in VA
Practice address
900 Trevor CT
Chesapeake, VA 23322-8917
Phone
(252) 232-8892
Fax
(252) 558-0496
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11518427 NC
Behavior Analyst 103K00000X 0133000595 VA Primary

Addresses

Primary practice location

900 Trevor CT
Chesapeake, VA 23322-8917

Mailing address

900 Trevor CT
Chesapeake, VA 23322-8917
Phone (252) 232-8892

Other practice location 1

870 N Military Hwy
310
Norfolk, VA 23502-3638
Phone (407) 276-1042

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
11518427NCMDBehavioral Analyst
0133000595VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Obx Autism Behavior Therapy Inc Behavior Analyst CurrentSince Nov 26, 2023 Accepting new patients

Locations

870 N Military Hwy
Ste 310
Norfolk, VA 23502
Phone (407) 276-1042

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1831476472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TREVOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228917",
            "telephone_number": "252-232-8892",
            "fax_number": "252-558-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TREVOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228917",
            "telephone_number": "252-232-8892",
            "fax_number": "252-558-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 N Military Hwy",
            "address_2": "310",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023638",
            "country_code": "US",
            "telephone_number": "407-276-1042",
            "fax_number": "252-565-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LORENA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "11518427",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.