Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295189488 Individual Practitioner Male Practitioner

Christopher R Vandyke , MS, BCBA

Behavior Analyst • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Christopher Vandyke, MS, BCBA is a registered healthcare professional specializing in Behavior Analyst in Green Bay, WI. Practice services are available at 1575 ALLOUEZ AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 Allouez Ave

Green Bay, WI 543115639

Telephone 9208579041
Fax 9208573366
Associated Practice Facility / Clinic
🏢 Caravel Autism Health, Llc Facility NPI 1588993091

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Green Bay, WI (861 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License WI 144-140

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License WI 8690-125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wi License
144-140 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Madison Stackhouse

Behavior Technician

NPI 1003747833
Cambria Onick , MS

Behavior Analyst

NPI 1013578384

Master of Science

Kelsey Harper , BCBA

Behavior Analyst

NPI 1023558053

Board Certified Behavior Analyst

Nicollette Lazarides

Behavior Analyst

NPI 1023766995
Kevin Dihel

Behavior Analyst

NPI 1033836283
Cheri Burkart

Counselor - Professional

NPI 1043788060

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Counselor (License #8690-125 in WI)

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639 (Tel: 9208579041)

📍
Updated Business Mailing Address April 14, 2016

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639 (Tel: 9208579041)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as CHRISTOPHER VANDYKE, M.S., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Behavior Analyst (License #144-140 in WI)

🟢
Initial NPI Registration & Enumeration April 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295189488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2016
Last Update: June 13, 2023
Sole Proprietor: No

Mailing Address

1575 Allouez Ave

Green Bay, WI 543115639

Phone: 9208579041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.