Sandra Vantic, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2017030311 Issued in MO

Practice address

7522 Big Bend Blvd
Saint Louis, MO 63119-2104

Phone

(573) 424-2948

Fax

(573) 874-1723

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Green, Maxville, and Associates

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1770879421
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1508474602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192104",
            "telephone_number": "573-424-2948",
            "fax_number": "573-874-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192104",
            "telephone_number": "573-424-2948",
            "fax_number": "573-874-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTIC",
        "first_name": "SANDRA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2017030311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Vannoy
• Angela Maria Vanschaik, LCSW
• Gregory Paul Vanstavern, MD
• Vantage Point Consulting LLC
• Vantastic Care Home Health Services LLC
• Daniel Vanvalkinburgh, MD
• Michael Joseph Vanvrancken, MD
• Odette Vanzandt, RBT
• Matthew William Vaporean, LMSW
• Sherry E Vaporean, M.S., CCC-SLP

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.