Individual provider Active NPI

Kandace-Ma'at Hall

  • Assistant Behavior Analyst
  • Richmond, VA
National Provider Identifier
1982301677
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000479 Issued in VA
Practice address
2920 W Broad St Ste 215
Richmond, VA 23230-5103
Phone
(804) 988-1150
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0134000479 VA
Assistant Behavior Analyst 106E00000X 0134000479 VA Primary

Addresses

Primary practice location

2920 W Broad St Ste 215
Richmond, VA 23230-5103

Mailing address

1215 Rennie Ave
Richmond, VA 23227-4722
Phone (804) 874-2256

Other names 1

  • Kandace-Ma'at Booker Former name

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

LicenseStateTypeSpecialty
0134000479VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Task Kids Inc Richmond VA CurrentSince Dec 14, 2025 Accepting new patients
Taskids Inc Behavior Analyst PastSince Jan 5, 2025 Accepting new patients

Locations

2920 W Broad St
Ste 215
Richmond, VA 23230
Phone (800) 883-8441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1982301677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 RENNIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274722",
            "telephone_number": "804-874-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W BROAD ST STE 215",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232305103",
            "telephone_number": "804-988-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KANDACE-MA'AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000479",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDACE-MA'AT",
            "last_name": "BOOKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.