Individual provider Active NPI

Kimberly Ann Rojas Vazquez, BCBA, LBA

  • Behavior Analyst
  • Sanford, NC
National Provider Identifier
1952877870
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31773 Issued in NU
Practice address
89 Lakewind CT
Sanford, NC 27332-0612
Phone
(706) 761-3852
NPI assigned
Oct 18, 2018
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 414 NC
Behavior Analyst 103K00000X 1-18-31773 NU Primary
Behavior Analyst 103K00000X 0133001747 VA

Addresses

Primary practice location

89 Lakewind CT
Sanford, NC 27332-0612

Mailing address

89 Lakewind CT
Sanford, NC 27332-0612
Phone (706) 761-3852

Other practice location 1

8405 Richmond Hwy Ste E
Alexandria, VA 22309-2425
Phone (703) 896-0760

Other practice location 2

609 Harbor Side St
Woodbridge, VA 22191-5419
Phone (703) 896-0760

Other names 1

  • Mrs. Kimberly Ann Rojas Vasquez Former name

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
414NCMDAddiction (Substance Use Disorder) Counselor
0133001747VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Proud Achievements ABA LLC Behavior Analyst CurrentSince Jan 26, 2022 Accepting new patients
Cho Behavioral Consulting, LLC Behavior Analyst PastSince Feb 27, 2022 Accepting new patients
Priorities ABA, PLLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1952877870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LAKEWIND CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320612",
            "telephone_number": "706-761-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LAKEWIND CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320612",
            "telephone_number": "706-761-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Richmond Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223092425",
            "country_code": "US",
            "telephone_number": "703-896-0760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Harbor Side St",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221915419",
            "country_code": "US",
            "telephone_number": "703-896-0760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS VAZQUEZ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "414",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-31773",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROJAS VASQUEZ",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.