HOLLY VANDENBERG BCBA - NPI 1851891345 - Behavior Analyst in Milton, FL

Q: What is Holly Vandenberg's NPI number?

The NPI number for Holly Vandenberg is 1851891345. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Q: What is Holly Vandenberg's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Vandenberg was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Holly Vandenberg Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY VANDENBERG BCBA (NPI 1851891345) is an individual behavior analyst provider in Milton, Florida, licensed in Florida (1-21-47568) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1851891345

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameHOLLY VANDENBERGCredential: BCBA

Location Address6810 FORT JACKSON CTMilton, FL 32583-7692

Mailing Address6810 Fort Jackson CtMilton, FL 32583-7692 · (850) 503-6636 · Fax (850) 626-6132

Phone(850) 503-6636

Fax(850) 626-6132

Sole ProprietorNo

Enumeration DateFebruary 20, 2018

Last NPPES UpdateApril 21, 20213 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1851891345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-21-47568

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-49785 (FL)

6810 FORT JACKSON CT, Milton, FL 32583

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA SAVANNAH SCHNELL

Behavior Technician