Individual provider Active NPI

Asia Vanhorn

  • Behavior Analyst
  • The Dalles, OR
National Provider Identifier
1821542333
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
10177757 Issued in OR
Practice address
401 E 3Rd St
Suite 101
The Dalles, OR 97058-2562
Phone
(541) 298-2101
Fax
(541) 298-7996
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 10177757 OR Primary

Addresses

Primary practice location

401 E 3Rd St
Suite 101
The Dalles, OR 97058-2562

Mailing address

401 E 3Rd St
Suite 101
The Dalles, OR 97058-2562
Phone (541) 298-2101

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

State licenses

LicenseStateTypeSpecialty
10177757ORMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1821542333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 3RD ST",
            "address_2": "SUITE 101",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582562",
            "telephone_number": "541-298-2101",
            "fax_number": "541-298-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 3RD ST",
            "address_2": "SUITE 101",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582562",
            "telephone_number": "541-298-2101",
            "fax_number": "541-298-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "ASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10177757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.