Individual provider Active NPI

Vickey Foster, LBA

  • Behavior Analyst
  • Bend, OR
National Provider Identifier
1821648304
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10216053 Issued in OR
Practice address
2421 NE Doctors Dr
Bend, OR 97701-7111
Phone
(541) 224-6987
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X ABA-AB-10213790 OR
Behavior Technician 106S00000X
Behavior Analyst 103K00000X ABA-B-10216053 OR Primary

Addresses

Primary practice location

2421 NE Doctors Dr
Bend, OR 97701-7111

Mailing address

4105 SW Tommy Armour LN
Redmond, OR 97756-0319
Phone (503) 568-5949

Other practice location 1

121 SW Salmon St # 11th
Portland, OR 97204-2908
Phone (818) 241-6780

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
ABA-B-10216053ORMDBehavioral Analyst
ABA-AB-10213790ORMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1821648304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SW TOMMY ARMOUR LN",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560319",
            "telephone_number": "503-568-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 NE DOCTORS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017111",
            "telephone_number": "541-224-6987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 SW Salmon St # 11th",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972042908",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "VICKEY",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OR",
            "license": "ABA-AB-10213790",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10216053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.