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Deactivated NPI 1164197018 Deactivated / Inactive NPI Female Practitioner

Elise Ivory

Behavior Analyst • Stafford, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elise Ivory has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2021
NPI Deactivation Date December 09, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Elise Ivory was a registered Behavior Analyst practicing in Stafford, VA. Throughout an active medical career spanning 1 years, Elise Ivory provided care at the practice location at 2761 JEFFERSON DAVIS HWY # 107109 until profile deactivation on 2022-12-09.

Practice Location & Contact Primary Location

Practice Address

2761 Jefferson Davis Hwy # 107109

Stafford, VA 225548329

Telephone 5406993877

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Stafford, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Stafford, VA (2797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brittany Kohler

Behavior Technician

NPI 1033687942
Justyna Brown

Behavior Technician

NPI 1033767934
Larissa Kelly

Behavior Technician

NPI 1043857667
Jonee Jackson

Behavior Technician

NPI 1063052108
Teiontay Reynolds

Behavior Analyst

NPI 1124737101
Morgan Hale

Behavior Technician

NPI 1144930413

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated December 09, 2022

Record deactivated on December 09, 2022

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Behavior Technician

NPI Profile Active August 12, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2021

Registered at 2761 JEFFERSON DAVIS HWY # 107109, STAFFORD, VA 225548329 (Tel: 5406993877)

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Updated Business Mailing Address August 12, 2021

Registered at 2761 JEFFERSON DAVIS HWY # 107109, STAFFORD, VA 225548329 (Tel: 5406993877)

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Provider Name / Credentials Updated August 12, 2021

Recorded as ELISE IVORY

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration August 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164197018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2021
Last Update: August 12, 2021
Deactivation Date: December 09, 2022

Mailing Address

2761 Jefferson Davis Hwy # 107109

Stafford, VA 225548329

Phone: 5406993877

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.