Active NPI
Tyrrea Graves
- Behavior Analyst
- Chester, PA
National Provider Identifier
1952779399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH002819
- Practice address
- 215 W 9TH St
Floor 2
Chester, PA 19013-4224 - Phone
- (302) 521-2860
- NPI assigned
- Sep 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH002819 | PA | Primary |
Addresses
Primary practice location
215 W 9TH St
Floor 2
Chester, PA 19013-4224
Mailing address
215 W 9TH St
Floor 2
Chester, PA 19013-4224
Phone (302) 521-2860
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 |
|---|---|---|---|
| BH002819 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autistic Angels Behavioral Health, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Dover, DE
- NPI 1043164676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1952779399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 9TH ST",
"address_2": "FLOOR 2",
"city": "CHESTER",
"state": "PA",
"postal_code": "190134224",
"telephone_number": "302-521-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 9TH ST",
"address_2": "FLOOR 2",
"city": "CHESTER",
"state": "PA",
"postal_code": "190134224",
"telephone_number": "302-521-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "TYRREA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.