Individual provider Active NPI

Taylor Burke Van Dervort, BCBA,LBA

  • Behavior Analyst
  • Metairie, LA
National Provider Identifier
1063316339
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-1168 Issued in LA
Practice address
433 Metairie Rd Ste 515
Metairie, LA 70005-4326
Phone
(504) 833-6730
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L-1168 LA Primary

Addresses

Primary practice location

433 Metairie Rd Ste 515
Metairie, LA 70005-4326

Mailing address

406 Sena Dr
Metairie, LA 70005-2706
Phone (404) 398-7860

Other practice location 1

1333 S Carrollton Ave
New Orleans, LA 70118-2003
Phone (504) 833-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1063316339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SENA DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052706",
            "telephone_number": "404-398-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 METAIRIE RD STE 515",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054326",
            "telephone_number": "504-833-6730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 S Carrollton Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701182003",
            "country_code": "US",
            "telephone_number": "504-833-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DERVORT",
        "first_name": "TAYLOR",
        "middle_name": "BURKE",
        "credential": "BCBA,LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.