Active NPI
Christine T Passaretti, BCBA
- Behavior Analyst
- Chesapeake, VA
National Provider Identifier
1922186170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-02-0836
- Practice address
- 4225 Potsmouth Blvd Ste B
Chesapeake, VA 23321 - Phone
- (757) 373-2324
- Fax
- (757) 215-2863
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-02-0836 | FL | Primary |
| Behavior Analyst | 103K00000X | 0133000135 | VA |
Addresses
Primary practice location
4225 Potsmouth Blvd Ste B
Chesapeake, VA 23321
Mailing address
4225 Portsmouth Blvd Ste B
Chesapeake, VA 23321-2154
Phone (757) 292-4774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000135 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpaba Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Mea'Alofa Autism Support Center | Past | Accepting new patients |
Locations
4225 Portsmouth Blvd
Ste B
Chesapeake, VA 23321
Phone (757) 292-4774
7025 Harbour View Blvd
Ste 101
Suffolk, VA 23435
Phone (757) 292-4774
Organizations & group practices 2
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
- Suffolk, VA
- NPI 1518480961
-
- Developmental Disabilities Clinic/Center
- Chesapeake, VA
- NPI 1750549770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1922186170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 PORTSMOUTH BLVD STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233212154",
"telephone_number": "757-292-4774",
"fax_number": "757-215-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 POTSMOUTH BLVD STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23321",
"telephone_number": "757-373-2324",
"fax_number": "757-215-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSARETTI",
"first_name": "CHRISTINE",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-02-0836",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000135",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.