Active NPI
Regina Lyn Mowatt, B.S., BCAT, RBT
- Behavior Technician
- Chesapeake, VA
National Provider Identifier
1851809511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 00002031
- Practice address
- 648 Independence Pkwy Ste 300
Chesapeake, VA 23320-5208 - Phone
- (757) 776-0790
- NPI assigned
- Jan 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-41190 | VA | |
| Behavior Technician | 106S00000X | 00002031 | VA | Primary |
Addresses
Primary practice location
648 Independence Pkwy Ste 300
Chesapeake, VA 23320-5208
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other names 1
- Regina Lynn McDade
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002031 | VA | MD | Behavior Technician |
| RBT-17-41190 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Life ABA VA, LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- New York, NY
- NPI 1023772001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1851809511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 INDEPENDENCE PKWY STE 300",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205208",
"telephone_number": "757-776-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWATT",
"first_name": "REGINA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "B.S., BCAT, RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-17-41190",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "00002031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "MCDADE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.