Healthcare Provider Details
I. General information
NPI: 1427975556
Provider Name (Legal Business Name): ANDREA NICOLE AKERS BCABA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
520 LEW DEWITT BLVD STE 401
WAYNESBORO VA
22980-1644
US
IV. Provider business mailing address
7460 CENTRAL BUSINESS PARK DR
NORFOLK VA
23513-2818
US
V. Phone/Fax
- Phone: 540-949-7045
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | 0134000700 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: