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Kimberly Hetsko , MED

Behavior Analyst β€’ Virginia Beach, VA

Active NPI 1427518463 Individual Practitioner Female Practitioner
Practice location in NPPES

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 234527332

Call 7572667643 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

780 Lynnhaven Pkwy Ste 400

Virginia Beach, VA 234527332

Telephone 7572667643
Organization at the Same NPPES Address or Phone
Legacy Care Llc Facility NPI 1902149776

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Virginia Beach and Virginia

277 active clinicians are listed under Behavior Analyst with a practice address in Virginia Beach, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Virginia Beach

0% of these 277 clinicians have the CMS telehealth indicator.

0% of these 277 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0133002071

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES PA BH003711

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bacb
1-19-34950

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Tera Stanistreet , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851922041

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 26, 2026

Registered at 780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 234527332 (Tel: 7572667643)

πŸ“
Updated Business Mailing Address June 26, 2026

Registered at 780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 234527332

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2026

Behavior Analyst (license number reported to NPPES: VA 0133002071)

πŸ“
Updated Practice Location October 28, 2022

Registered at 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320 (Tel: 7573786925)

πŸ“
Updated Business Mailing Address October 28, 2022

Registered at 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 233200218 (Tel: 7573786925)

πŸ“
Updated Practice Location August 20, 2021

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BCH, FL 334411817 (Tel: 8774182978)

πŸ“
Updated Business Mailing Address August 02, 2021

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817

πŸ“
Updated Practice Location March 12, 2021

Registered at 1003 WYOMING AVE, FORTY FORT, PA 187044002 (Tel: 5708460455)

βœ…
NPI Profile Active March 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2019

Registered at 193 MARKET ST, KINGSTON, PA 187045409 (Tel: 5709160084)

πŸ“
Business Mailing Address (Initial Record) March 25, 2019

Registered at 193 MARKET ST, KINGSTON, PA 187045409

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2019

Recorded as KIMBERLY HETSKO, M.ED.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Behavior Analyst (license number reported to NPPES: PA BH003711)

🟒
Initial NPI Registration & Enumeration March 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427518463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2019
Last Update: June 26, 2026
Sole Proprietor: No

Mailing Address

780 Lynnhaven Pkwy Ste 400

Virginia Beach, VA 234527332

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.