Individual provider Active NPI

Victoria Elizabeth Hornback, MA, BCBA

  • Behavior Analyst
  • Cherry Hill, NJ
National Provider Identifier
1114374337
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-21111 Issued in NJ
Practice address
1256 Marlkress Rd
Cherry Hill, NJ 08003-2626
Phone
(856) 938-8932
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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 1-15-21111 NJ Primary

Addresses

Primary practice location

1256 Marlkress Rd
Cherry Hill, NJ 08003-2626

Mailing address

115 E Kings Hwy
Unit 221
Maple Shade, NJ 08052-3434
Phone (856) 938-8932

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1114374337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E KINGS HWY",
            "address_2": "UNIT 221",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523434",
            "telephone_number": "856-938-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MARLKRESS RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032626",
            "telephone_number": "856-938-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.