Provider Demographics
NPI:1003194176
Name:ORNDOFF, YOLANDA DENISE (MA BCBA)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:DENISE
Last Name:ORNDOFF
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 FLOWERS POINTE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5520
Mailing Address - Country:US
Mailing Address - Phone:407-620-0335
Mailing Address - Fax:
Practice Address - Street 1:1227 FLOWERS POINTE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5520
Practice Address - Country:US
Practice Address - Phone:407-620-0335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-23
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-9554103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-14-9554OtherBACB