Active NPI
Aaliyah Drake
- Behavior Technician
- Lynchburg, VA
National Provider Identifier
1992414643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-186004
- Practice address
- 1933 Thomson Dr
Lynchburg, VA 24501-1008 - Phone
- (804) 562-6604
- Fax
- (757) 970-0277
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-21-186004 | VA | Primary |
Addresses
Primary practice location
1933 Thomson Dr
Lynchburg, VA 24501-1008
Mailing address
6800 Paragon PL Ste 200
Richmond, VA 23230-1652
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 |
|---|---|---|---|
| RBT-21-186004 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercept Youth Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Wytheville, VA
- NPI 1518448331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1992414643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARAGON PL STE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 THOMSON DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011008",
"telephone_number": "804-562-6604",
"fax_number": "757-970-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "AALIYAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-21-186004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.