Healthcare Provider Details

I. General information

NPI: 1427892033
Provider Name (Legal Business Name): JARED T ARMSHAW BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 DILIGENCE DR # 102
NEWPORT NEWS VA
23606-4211
US

IV. Provider business mailing address

825 DILIGENCE DR # 102
NEWPORT NEWS VA
23606-4211
US

V. Phone/Fax

Practice location:
  • Phone: 254-249-6530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: