Vanedjie Ava Rosefort

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

966 Park St Ste B2
Stoughton, MA 02072-3650

Phone

(781) 474-7771

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1528724036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE B2",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-474-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE B2",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-474-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEFORT",
        "first_name": "VANEDJIE",
        "middle_name": "AVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Rodriguez
• Tessa Rogari
• Vendela Rogers, RD,LDN
• Cruzmayrie Rosado-Lorenzo
• Rose Ann Berwald, M.D.
• Jules Rosenberg, DMD
• Helaine W Rosenfield, MED., CCC/SLP
• Paul Rosman, PHARMD
• Aimee Rosner, LMHC, ATR
• Eva Ross

• Behavior Technician in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.