Provider Demographics
NPI:1013429877
Name:BAUMES, ANDREA (BCBA)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:BAUMES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:VERMESI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3040 AVEMORE SQUARE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7228
Mailing Address - Country:US
Mailing Address - Phone:434-220-0089
Mailing Address - Fax:434-220-0103
Practice Address - Street 1:3040 AVEMORE SQUARE PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-7228
Practice Address - Country:US
Practice Address - Phone:434-220-0089
Practice Address - Fax:434-220-0103
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-20-43268103K00000X
VA0133003081103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
14920677OtherCAQH PROVIDER ID
1-20-43268OtherBEHAVIOR ANALYST CERTIFICATION BOARD
VA0133003081OtherLBA