Individual provider Active NPI

Angelica Vanzandt, RBT

  • Behavior Technician
  • Burlington, NJ
National Provider Identifier
1255899415
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-80504 Issued in NJ
Practice address
1900 Burlington Mount Holly Rd Ste 2a
Burlington, NJ 08016-4723
Phone
(609) 614-7495
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-80504 NJ Primary

Addresses

Primary practice location

1900 Burlington Mount Holly Rd Ste 2a
Burlington, NJ 08016-4723

Mailing address

1900 Burlington Mount Holly Rd Ste 2a
Burlington, NJ 08016-4723
Phone (609) 614-7495

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

State licenses

LicenseStateTypeSpecialty
RBT-19-80504NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1255899415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE 2A",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164723",
            "telephone_number": "609-614-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE 2A",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164723",
            "telephone_number": "609-614-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZANDT",
        "first_name": "ANGELICA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-19-80504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.