Blue Ridge Behavioral Solutions, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE RIDGE BEHAVIORAL SOLUTIONS, LLC

Practice address

440 Monticello Ave Ste 1802 PMB 491643
Norfolk, VA 23510

Phone

(830) 556-2604

Fax

(210) 547-7984

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Johnny R. Ybarra, MS, QASP-SNPI 1861774887

Title

Ceo & Owner

Phone

(830) 556-2604

Specialties & licenses 1

Addresses

Practitioners 1

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

• Johnny Ray Ybarra, MS, LBA, LCDC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1861774887
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1851156533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1802 PMB 491643",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "830-556-2604",
            "fax_number": "210-547-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1802 PMB 491643",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "830-556-2604",
            "fax_number": "210-547-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "830-556-2604",
        "authorized_official_credential": "MS, QASP-S"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessa R Blount, C.G.C.
• Phillis D Blow Wilson, LCSW
• Terina Blowe
• Lacey Bloy, CRNA
• Blue Pony ABA LLC
• Blue Sky Psychiatry
• Daniel Allen Bluestein, MD
• Bluestone Physician Services Southeast LLC
• Brandy R Bluitt, LCSW
• Meira Blum

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.