Destinie Vandergrift, BCBA

Behavior Analyst · Woodbury, NJ

Individual Active NPI

NPI number 1104717982

Practice location

17 W Red Bank Ave Ste 103
Woodbury, NJ 08096-1630
Phone
(856) 480-0688

Open in Google Maps

NPI record

NPI
1104717982
Entity type
Individual (Type 1)
Enumeration date
July 10, 2025
Last updated
July 10, 2025
Certified
July 10, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-24-70926 NJ

Mailing address

117 Spruce Ave
Westville, NJ 08093-1119
Phone
(856) 625-1123

About Destinie Vandergrift

Destinie Vandergrift, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 17 W Red Bank Ave Ste 103, Woodbury, NJ 08096-1630. The NPI number 1104717982 was assigned on July 10, 2025 and the record was last updated on July 10, 2025.

Destinie Vandergrift lists a license in the registry: #1-24-70926 (NJ) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Destinie Vandergrift, BCBA?

The NPI number is 1104717982.

What is the phone number of Destinie Vandergrift?

The phone number listed for the practice location is (856) 480-0688.

Where is Destinie Vandergrift located?

17 W Red Bank Ave Ste 103, Woodbury, NJ 08096-1630.

What is the taxonomy code for Destinie Vandergrift?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Woodbury

All Behavior Analyst providers in Woodbury, NJ →