Individual provider Active NPI

Robert Austin-Villanueva III, BCABA

  • Behavior Analyst
  • Richmond, VA
National Provider Identifier
1861159121
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133004029 Issued in VA
Practice address
8000 Brook Rd
Richmond, VA 23227-1338
Phone
(804) 521-5579
Fax
(804) 553-3310
NPI assigned
Nov 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-13178 VA
Behavior Technician 106S00000X RBT-21-161513 VA
Behavior Analyst 103K00000X 0133004029 VA Primary

Addresses

Primary practice location

8000 Brook Rd
Richmond, VA 23227-1338

Mailing address

2820 Waterford Lake Dr Ste 102
Midlothian, VA 23112-3994
Phone (804) 658-4509

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
0133004029VAMDBehavioral Analyst
RBT-21-161513VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Insight Inc Behavior Analyst CurrentSince Jun 28, 2024 Accepting new patients

Locations

2820 Waterford Lake Dr
Ste 102
Midlothian, VA 23112
Phone (804) 372-3473

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1861159121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 WATERFORD LAKE DR STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123994",
            "telephone_number": "804-658-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271338",
            "telephone_number": "804-521-5579",
            "fax_number": "804-553-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-VILLANUEVA",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0-21-13178",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-161513",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.