NPIMap

Organization Active NPI

Progressive ABA, Inc.

  • Behavior Analyst
  • Newport News, VA
National Provider Identifier
1962834853
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0134000030 Issued in VA
Legal business name
PROGRESSIVE ABA, INC.
Practice address
12727 McManus Blvd Ste G
Newport News, VA 23602-4459
Phone
(757) 877-2300
Fax
(757) 264-6258
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Kathryn Elizabeth Raulerson-Kellas, BCABA, LABANPI 1649602533
Title
Founder
Phone
(757) 869-4162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 0134000030 VA Primary

Addresses

Primary practice location

12727 McManus Blvd Ste G
Newport News, VA 23602-4459

Mailing address

12727 McManus Blvd Ste G
Newport News, VA 23602-4459
Phone (757) 877-2300

Other names 1

  • Progressive Learning Therapy, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@progressive-aba.org Direct

National Provider Directory

National Provider Directory

Locations

12727 McManus Blvd
Ste G
Newport News, VA 23602
Phone (757) 869-4162

5251 John Tyler Hwy
Ste 37
Williamsburg, VA 23185

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1962834853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 MCMANUS BLVD STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024459",
            "telephone_number": "757-877-2300",
            "fax_number": "757-264-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 MCMANUS BLVD STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024459",
            "telephone_number": "757-877-2300",
            "fax_number": "757-264-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ABA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "RAULERSON-KELLAS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "757-869-4162",
        "authorized_official_credential": "BCABA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@progressive-aba.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant email address",
            "address_1": "12727 McManus Blvd Ste G",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236024459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Progressive Learning Therapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.