Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063821676 Individual Practitioner Female Practitioner

Tanya Vanillo

Behavior Analyst • Petoskey, MI

Professional Overview & Biography Verified Profile Summary

Tanya Vanillo is a registered healthcare professional specializing in Behavior Analyst in Petoskey, MI. Practice services are available at 910 SPRING ST STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 Spring St Ste 4

Petoskey, MI 497702881

Telephone 2312680007

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Petoskey, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Petoskey, MI (3207 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: 2026-02-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401002605

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kelly Moran

Behavior Technician

NPI 1003559667
Isabella Carter

Behavior Technician

NPI 1003655804
Ashton Mcdaniels

Behavior Technician

NPI 1003763178
Rachel Waybrant

Behavior Technician

NPI 1003769514
Heather Kraszewski

Behavior Technician

NPI 1013631464
Christopher Palazzolo

Behavior Technician

NPI 1013697036

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 09, 2026

Registered at 910 SPRING ST STE 4, PETOSKEY, MI 497702881 (Tel: 2312680007)

📍
Updated Business Mailing Address February 09, 2026

Registered at 223 BRIDGE ST APT C, CHARLEVOIX, MI 497201400 (Tel: 5622091819)

👤
Provider Name / Credentials Updated February 09, 2026

Recorded as TANYA VANILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2026

Behavior Analyst (License #7401002605 in MI)

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2014

Registered at 17595 ALMAHURST STREET, SUITE 100A, CITY OF INDUSTRY, CA 91748 (Tel: 6263444434)

📍
Updated Business Mailing Address August 07, 2014

Registered at P.O. BOX 33568, SAN DIEGO, CA 92163 (Tel: 6199777201)

👤
Provider Name / Credentials Updated August 07, 2014

Recorded as TANYA LOPEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Behavior Analyst (License #1-14-16753 in CA)

🟢
Initial NPI Registration & Enumeration August 07, 2014

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: 1063821676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2014
Last Update: February 09, 2026
Sole Proprietor: No

Mailing Address

223 Bridge St Apt C

Charlevoix, MI 497201400

Phone: 5622091819

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.