Individual provider Active NPI

Loraine Espana

  • Behavior Analyst
  • Yorktown, VA
National Provider Identifier
1912430299
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001310 Issued in VA
Practice address
3400 Preamble LN Apt H
Yorktown, VA 23692-2608
Phone
(719) 459-8374
Fax
(757) 282-2597
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 0133001310 VA Primary

Addresses

Primary practice location

3400 Preamble LN Apt H
Yorktown, VA 23692-2608

Mailing address

3400 Preamble LN Apt H
Yorktown, VA 23692-2608
Phone (719) 459-8374

Other practice location 1

4828 Harbor Oaks Way
Virginia Beach, VA 23455-1944
Phone (757) 362-8388

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
0133001310VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Grace ABA LLC Behavior Analyst 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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1912430299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PREAMBLE LN APT H",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922608",
            "telephone_number": "719-459-8374",
            "fax_number": "757-282-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PREAMBLE LN APT H",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922608",
            "telephone_number": "719-459-8374",
            "fax_number": "757-282-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4828 Harbor Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234551944",
            "country_code": "US",
            "telephone_number": "757-362-8388",
            "fax_number": "305-846-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPANA",
        "first_name": "LORAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.