Individual provider Active NPI

Kassi Vanderploeg, BCBA

  • Behavior Analyst
  • Destin, FL
National Provider Identifier
1679801393
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6865 Issued in NC
Practice address
36468 Emerald Coast Pkwy
Suite 2101
Destin, FL 32541-4799
Phone
(850) 837-1200
Fax
(850) 269-2341
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-6865 NC Primary

Addresses

Primary practice location

36468 Emerald Coast Pkwy
Suite 2101
Destin, FL 32541-4799

Mailing address

36468 Emerald Coast Pkwy Ste 2101
Destin, FL 32541-3723
Phone (850) 837-1200

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

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1679801393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PKWY STE 2101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413723",
            "telephone_number": "850-837-1200",
            "fax_number": "850-269-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PKWY",
            "address_2": "SUITE 2101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414799",
            "telephone_number": "850-837-1200",
            "fax_number": "850-269-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPLOEG",
        "first_name": "KASSI",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-10-6865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.