Nac Opco LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NAC OPCO LLC

Practice address

152 Burnetts Way
Suffolk, VA 23434-8166

Phone

(480) 634-3326

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Justin Lane Hartman

Title

Ceo

Phone

(480) 634-3326

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Madonna Grace Mendoza Valdez, BCBA

  • Behavior Analyst
  • Chesapeake, VA
  • NPI 1609455203
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1972353738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHISPER LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014023",
            "telephone_number": "480-634-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BURNETTS WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348166",
            "telephone_number": "480-634-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-634-3326"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Nega Muluneh, DPT
• Sara Eliza Munoz, DNP, FNP-C
• Rayonna Ashanti-Shonya Murray
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• Seth D. Myers, P.T.
• Rajiv B Nanavaty, M.D.
• Nans Pointe Rehabilitation and Nursing LLC
• Casimir Napora, M.D.
• National Counseling Group, Inc
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• Behavior Analyst in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.