Jamie P Von Barnau Sythoff, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

24-15054

Practice address

15 10TH Ave
Shalimar, FL 32579-1340

Phone

(850) 607-6932

Fax

(850) 607-6932

NPI assigned

Jan 5, 2018

Last updated

Feb 8, 2024By 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 2

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.

• The Village ABA, LLC

  • Behavior Analyst
  • Fort Walton Beach, FL
  • NPI 1467153338
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1851808398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 SCENIC OAK LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474911",
            "telephone_number": "850-598-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 10TH AVE",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791340",
            "telephone_number": "850-607-6932",
            "fax_number": "850-607-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BARNAU SYTHOFF",
        "first_name": "JAMIE",
        "middle_name": "P",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-42300",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "24-15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Claire Troutman, APRN
• Monica Sheree Trujillo-Wilson, QASP-S
• Harold Earl Tullock, LMT
• Danielle Caryn Valcourt
• Norene M Vello, LPCC
• Natasha Vosburgh
• Wendy Vrijbloed, DDS
• Kathleen Harriet Wakefield, LMHC
• Holly A Ward, MD
• Morgan Wasik

• Behavior Analyst in Shalimar, FL
• Providers in Shalimar, 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 8, 2024; 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.