Tidewater Behavior Project

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TIDEWATER BEHAVIOR PROJECT

Practice address

31 Arline Dr
Newport News, VA 23608-2256

Phone

(757) 778-8886

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Rae Fontaine, MS, BCBA, LBANPI 1407007792

Title

Owner

Phone

(757) 778-8886

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Fontaine, M.S., BCBA

  • Behavior Analyst
  • Williamsburg, VA
  • NPI 1407007792
  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1922679927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ARLINE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082256",
            "telephone_number": "757-778-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ARLINE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082256",
            "telephone_number": "757-778-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER BEHAVIOR PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-778-8886",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vihitha Thota, MD
• Nehemiah Thrash Jr., MD
• Three Angels Medical Transportation LLC
• Ligeng Tian, B.M.
• Tidal Family Eye Care, LLC
• Tidewater Counseling Group, LLC
• Tidewater Family Dentistry (a division of Atlantic Dental Care)
• Tidewater Foot Center LLC
• Tidewater Hearing Center (Miracle Ear)
• Tidewater Institute of NLP

• Behavior Analyst in Newport News, VA
• Providers in Newport News, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.