Organization Active NPI

Ivyrehab ABA, LLC

  • Behavior Analyst
  • Suffolk, VA
National Provider Identifier
1982301842
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IVYREHAB ABA, LLC
Practice address
7025 Harbour View Blvd Ste a
Suffolk, VA 23435-2761
Phone
(757) 974-8262
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Ashley Griffiths
Title
Director of Payer Relations
Phone
(914) 294-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7025 Harbour View Blvd Ste a
Suffolk, VA 23435-2761

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

National Provider Directory

National Provider Directory

Locations

1622 Timberwood Blvd
Ste 112
Charlottesville, VA 22911
Phone (434) 200-8510

1409 Kempsville Rd
Chesapeake, VA 23320
Phone (757) 578-8608

502 Bud Dr
Ste 4
Chesapeake, VA 23322
Phone (757) 408-7516

5203 Commonwealth Centre Pkwy
Midlothian, VA 23112

7025 Harbour View Blvd
Ste 108A
Suffolk, VA 23435
Phone (757) 974-8262

7025 Harbour View Blvd
Ste A
Suffolk, VA 23435
Phone (757) 974-8262

2076 S Independence Blvd
Ste 1C
Virginia Beach, VA 23453
Phone (727) 275-7622

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1982301842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 HARBOUR VIEW BLVD STE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352761",
            "telephone_number": "757-974-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "914-294-4050"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.