Christopher R Vandyke, MS, BCBA is a
Behavior Analyst based in Green Bay, Wisconsin. Christopher R Vandyke is licensed to practice in Wisconsin (license number 144-140) and his current practice location is
1575 Allouez Ave, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 857-9041.
NPI number for Christopher R Vandyke is 1295189488 and his current mailing address is 1575 Allouez Ave, Green Bay, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295189488.
Healthcare Provider's Profile
Full Name | Christopher R Vandyke |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 1575 Allouez Ave, Green Bay, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295189488
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 06/13/2023
Medical Identifiers
Medical identifiers for Christopher R Vandyke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295189488 | NPI | - | NPPES |
144-140 | Other | WI | WI LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8690-125 (Wisconsin) | Secondary |
103K00000X | Behavior Analyst | 144-140 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher R Vandyke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christopher R Vandyke, MS, BCBA 1575 Allouez Ave, Green Bay, WI 54311-5639 Ph: (920) 857-9041 | Christopher R Vandyke, MS, BCBA 1575 Allouez Ave, Green Bay, WI 54311-5639 Ph: (920) 857-9041 |
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