Organization Active NPI

Lark Therapy Group LLC

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1871363432
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LARK THERAPY GROUP LLC
Practice address
196 Waverly Dr
Virginia Beach, VA 23452-4330
Phone
(757) 450-0383
NPI assigned
Jan 4, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rebecca A Brunner, BCBA, LBANPI 1013560622
Title
Owner
Phone
(757) 450-0383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 12

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

196 Waverly Dr
Virginia Beach, VA 23452-4330

Mailing address

196 Waverly Dr
Virginia Beach, VA 23452-4330
Phone (757) 450-0383

Other names 1

NPPES NPI Registry
  • Lark Therapy Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2024.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1871363432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WAVERLY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524330",
            "telephone_number": "757-450-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WAVERLY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524330",
            "telephone_number": "757-450-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-450-0383",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lark Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.