Active NPI
George Frank Vandevender
- Behavior Analyst
- Central Point, OR
National Provider Identifier
1265808703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 153 Wind Song Drive
Central Point, OR 97502 - Phone
- (541) 287-0509
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
153 Wind Song Drive
Central Point, OR 97502
Mailing address
358 S. Oakdale
Family Solutions
Medford, OR 97501
Phone (541) 776-5793
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1265808703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 S. OAKDALE",
"address_2": "FAMILY SOLUTIONS",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-776-5793",
"fax_number": "541-776-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 WIND SONG DRIVE",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "97502",
"telephone_number": "541-287-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEVENDER",
"first_name": "GEORGE",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.