Individual provider Active NPI

Andrea S Vinning, BCBA

  • Behavior Analyst
  • Zachary, LA
National Provider Identifier
1497107346
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55829 Issued in LA
Practice address
9305 Main St Ste E
Zachary, LA 70791-7441
Phone
(225) 278-1020
NPI assigned
Jul 4, 2016
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-21-55829 LA Primary

Addresses

Primary practice location

9305 Main St Ste E
Zachary, LA 70791-7441

Mailing address

9305 Main St Ste E
Zachary, LA 70791-7441
Phone (225) 278-1020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Behavioral Services LLC Behavior Analyst CurrentSince May 1, 2022 Accepting new patients
Baton Rouge Speech and Hearing Foundation, Inc Behavior Analyst PastSince Dec 1, 2013 Accepting new patients

Locations

9305 Main St
Ste E
Zachary, LA 70791
Phone (225) 278-1020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1497107346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-278-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-278-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINNING",
        "first_name": "ANDREA",
        "middle_name": "S",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-21-55829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.