Active NPI
Elizaveta Valerievna Clark
- Behavior Technician
- Chesapeake, VA
National Provider Identifier
1942187182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-332628
- Practice address
- 1409 Kempsville Rd
Chesapeake, VA 23320-8134 - Phone
- (757) 578-8608
- NPI assigned
- Aug 19, 2025
- Last updated
- Aug 19, 2025
- 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-24-332628 | VA | Primary |
Addresses
Primary practice location
1409 Kempsville Rd
Chesapeake, VA 23320-8134
Mailing address
1401 Highgate CT
Chesapeake, VA 23322-8096
Phone (757) 504-7739
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 |
|---|---|---|---|
| RBT-24-332628 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1942187182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HIGHGATE CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233228096",
"telephone_number": "757-504-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KEMPSVILLE RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208134",
"telephone_number": "757-578-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ELIZAVETA",
"middle_name": "VALERIEVNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-24-332628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
- City of Chesapeake (City of Chesapeake Emergency Medical Services)
- City of Chesapeake Ta Chesapeake Community Serv Board
- Monica Elizabeth Claiborne, CSA
- Marla Jo Clancy, PMHNP-BC
- Clarity Therapeutic Strategies LLC
- James Clark, AEMT
- Nichelle Brittany Clark, IBCLC
- Olivia Clark, RBT
- Stacy Clark, M. ED
- Stephanie Renae Clark, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.