Provider Demographics
NPI:1770166480
Name:ROBERTS, VICTORIA ANN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:ROBERTS
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:ANN
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 E MAIN ST # 2487
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2619
Mailing Address - Country:US
Mailing Address - Phone:808-741-6675
Mailing Address - Fax:
Practice Address - Street 1:700 E MAIN ST # 2487
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2619
Practice Address - Country:US
Practice Address - Phone:808-741-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002162103K00000X
HI404103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst