Nova Neuro Network

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NOVA NEURO NETWORK

Practice address

10530 NE 119TH PL
Kirkland, WA 98034-3902

Phone

(425) 591-1063

Fax

(425) 242-7485

NPI assigned

May 16, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Judi-Denise Ewurama Vandyck, BCBANPI 1619542248

Title

Clinical Director

Phone

(425) 591-0654

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judi-Denise Vandyck, BCBA

  • Behavior Analyst
  • Redmond, WA
  • NPI 1619542248
  NPD Authorized official

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1144011149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 NE 119TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343902",
            "telephone_number": "425-591-0654",
            "fax_number": "425-242-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 NE 119TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343902",
            "telephone_number": "425-591-1063",
            "fax_number": "425-242-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEURO NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "VANDYCK",
        "authorized_official_first_name": "JUDI-DENISE",
        "authorized_official_middle_name": "EWURAMA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-591-0654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Nasal Sinus Center
• Northwest Nasal Sinus Center (Northwest Face)
• Northwest Nasal Sinus Center (Northwest Face)
• Northwest Nasal Sinus Center (northwest face)
• Northwest Vision Consultants
• Novo Life Counseling
• Alicia Nowak
• Ntek Corp. (Kirkland Compounding Pharmacy)
• Adewunmi Nuga, M.D.
• Maryam Nuraliyeva

• Behavior Analyst in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.