Healthcare Provider Details

I. General information

NPI: 1770166480
Provider Name (Legal Business Name): VICTORIA ANN ROBERTS BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TORI ANN ROBERTS

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 RIVERBOAT DR
CHESTER VA
23836-5438
US

IV. Provider business mailing address

11600 RIVERBOAT DR
CHESTER VA
23836-5438
US

V. Phone/Fax

Practice location:
  • Phone: 804-251-0434
  • Fax:
Mailing address:
  • Phone: 804-251-0434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number404
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133002162
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: