Octavia Vadan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59398 Issued in SC

Practice address

5052 Paddy Field Way # a
Ladson, SC 29456-6773

Phone

(786) 390-3674

Fax

(185) 563-1885

NPI assigned

Jul 30, 2020

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

Other names 1

• Ms. Octavia Vedeanu Former name

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 and National Provider Directory roles.

• Aventis Behavioral Consulting

  • Behavior Analyst
  • Ladson, SC
  • NPI 1649978206
  NPD Authorized official
• Charleston Pediatric Rehabilitation

  • Occupational Therapist
  • North Charleston, SC
  • NPI 1649634593
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1972112324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 PADDY FIELD WAY # A",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566773",
            "telephone_number": "786-390-3674",
            "fax_number": "185-563-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 PADDY FIELD WAY # A",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566773",
            "telephone_number": "786-390-3674",
            "fax_number": "185-563-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAN",
        "first_name": "OCTAVIA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-17-30625",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-22-59398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OCTAVIA",
            "last_name": "VEDEANU",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbey Tsao, PT, DPT
• Alyssa Marie Tucker, MS
• Jessica Sue Turner, SLP
• Adair Turturro, OTR/L
• Mike O Tyler Jr., MD,
• Mary Clare Van Hulle, SLP
• Tyrekia Varns
• David T Vroman, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3713)
• Jennifer Ellen Walker, LISW-CP

• Behavior Analyst in Ladson, SC
• Providers in Ladson, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.