Kearra E Wolcott

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

609 Harbor Side St
Woodbridge, VA 22191-5419

Phone

(703) 896-0760

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cho Behavioral Consulting, LLC

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1043966450
  NPD

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1861180523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 KAISER DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071335",
            "telephone_number": "540-429-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HARBOR SIDE ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915419",
            "telephone_number": "703-896-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCOTT",
        "first_name": "KEARRA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Winz
• Jessica Wire, M.D.
• Carolett Wise X
• Wme, LLC
• Carl Woelfel, PHARMD
• Rahwa Woldegiorgis
• Janice Myra Wolfe, CMT, LMT
• Flora Wong, RN BSN
• Amelia Volar Wonlue, OPERATING MANAGER
• Catherine Farnan Wood, PHYSICIAN ASSISTANT

• Behavior Technician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.