Timmie Erin Vardell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

8680 Issued in TX

Practice address

855 S 8TH St
Beaumont, TX 77701-4603

Phone

(409) 838-6568

NPI assigned

Jul 11, 2025

Last updated

Jul 11, 2025By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard L Shorkey Education & Rehabilitation Center

  • Physical Therapist
  • Beaumont, TX
  • NPI 1053497677

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1629969399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014603",
            "telephone_number": "409-838-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014603",
            "telephone_number": "409-838-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDELL",
        "first_name": "TIMMIE",
        "middle_name": "ERIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Valls, DDS
• Keitha June Van Ness, LPC
• Jennifer Vandehoef, FNP-C
• Gina Vandevender, PA
• Kinnedy Rayne Vandevender, LPC
• Stephanie Renee Vaughan, LPC
• Vaughn Medical Equipment Repair Service LLC
• Vaughn Medical LLC
• Gary Edward Vaughn, MD
• Laura Ruth Vaughn, LBSW,MA

• Behavior Analyst in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.