Active NPI
Lachelle M Prince
- Behavior Technician
- Herndon, VA
National Provider Identifier
1891356465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-86145
- Practice address
- 704 Bruce CT
Herndon, VA 20170-5442 - Phone
- (254) 640-5438
- NPI assigned
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-86145 | Primary |
Addresses
Primary practice location
704 Bruce CT
Herndon, VA 20170-5442
Mailing address
704 Bruce CT
Herndon, VA 20170-5442
Phone (254) 640-5438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-86145 | Other | BEHAVIOR ANALYTIC CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayynn@newdirectionsaba.com | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions ABA 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
- Herndon, VA
- NPI 1033681515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1891356465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 BRUCE CT",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705442",
"telephone_number": "254-640-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 BRUCE CT",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705442",
"telephone_number": "254-640-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "LACHELLE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-19-86145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYTIC CERTIFICATION BOARD",
"identifier": "RBT-19-86145",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayynn@newdirectionsaba.com",
"affiliation": "N",
"endpointDescription": "Email for clinic Director",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "lachelle@newdirectionsaba.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Clinical Staff direct email",
"address_1": "704 Bruce Ct",
"city": "Herndon",
"state": "VA",
"country_code": "US",
"postal_code": "201702017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.