Audrey Vandorn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB621097

Practice address

2437 SE 17TH St
Ocala, FL 34471-9105

Phone

(509) 521-0352

NPI assigned

Feb 13, 2023

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1598462475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HICKORY TRAK",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344722446",
            "telephone_number": "352-299-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719105",
            "telephone_number": "509-521-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDORN",
        "first_name": "AUDREY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BACB621097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Van Eepoel, CRNP
• Megan Van Ooy
• Saskia Vanaarem, CRNA
• Mary Everhart Vanbenschoten, L.M.H.C.
• Cody J Vanderloop
• Kendra Lashay Vandyke
• Richard B Vaneldik, M.D.
• Margaret R Vang, APN
• Thompson Vanhyning Jr., PA
• Savannah Vanlue

• Behavior Analyst in Ocala, FL
• Providers in Ocala, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.