Active NPI
Calvin Walter
- Behavior Technician
- Chantilly, VA
National Provider Identifier
1952069239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3855 Centerveiw Drive
Unit 400
Chantilly, VA 20151 - Phone
- (844) 244-1818
- NPI assigned
- Dec 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
3855 Centerveiw Drive
Unit 400
Chantilly, VA 20151
Mailing address
1500 S Douglas Rd
Coral Gables, FL 33134-4108
Phone (844) 244-1818
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1952069239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-244-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 CENTERVEIW DRIVE",
"address_2": "UNIT 400",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "20151",
"telephone_number": "844-244-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "CALVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-03",
"last_updated": "2023-07-06",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.