Lee Vandertulip, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1345 Issued in TX

Practice address

1401 Universal City Blvd
Universal City, TX 78148-3317

Phone

(210) 336-1524

Fax

(210) 346-0277

NPI assigned

Aug 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Veronica Lee Vandertulip Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1477745875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DRIVE",
            "address_2": "SUITE 234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633602",
            "telephone_number": "210-336-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 UNIVERSAL CITY BLVD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483317",
            "telephone_number": "210-336-1524",
            "fax_number": "210-346-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERTULIP",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "VANDERTULIP",
            "middle_name": "LEE",
            "credential": "MA,BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• United Staffing Advantage, L
• Universal City Family Practice Center P.a.
• Universal Dental of San Antonio, PLLC
• Michael Anthony Uribe
• Usv Optical Inc.
• Ulysses J Vargas, DDS
• Nancy Vasquez
• Shanta Veeramachaneni, DDS
• Hannah Joy Vega
• Alesandra Vela

• Behavior Analyst in Universal City, TX
• Providers in Universal City, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.