Active NPI
Alfreda Mayeni Vandy, RBT
- Behavior Technician
- Fredericksburg, VA
National Provider Identifier
1295483907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4528 Plank Rd Ste A3
Fredericksburg, VA 22407-0141 - Phone
- (571) 277-0440
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
4528 Plank Rd Ste A3
Fredericksburg, VA 22407-0141
Mailing address
4528 Plank Rd Ste A3
Fredericksburg, VA 22407-0141
Phone (571) 277-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104179159 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hr@abatherapy.me | Global Behavior Therapy Associates, LLC |
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": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1295483907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4528 PLANK RD STE A3",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070141",
"telephone_number": "571-277-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4528 PLANK RD STE A3",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070141",
"telephone_number": "571-277-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDY",
"first_name": "ALFREDA",
"middle_name": "MAYENI",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104179159",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hr@abatherapy.me",
"affiliation": "Y",
"affiliationName": "Global Behavior Therapy Associates, LLC",
"address_1": "4528 Plank Rd Ste A3",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224070141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.