MRS. ANNE SCHULTZ METZGER (NPI# 1093074759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093074759 |
| Entity Type | Individual |
| Full Name | MRS. ANNE SCHULTZ METZGER |
| Other Name | MS. ANNE MARIE SCHULTZ |
| Credential | MA, BCBA |
| Practice Address |
4422 E State Blvd Fort Wayne IN 46815-6917 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 2604719263 |
| Practice Fax Number | 7654549759 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 7654549759 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-10379 | Behavioral Health & Social Service Providers | |
| N | 103K00000X | Behavioral Analyst | 2012013519 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA CERTIFICATE | 1-12-10379 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648612 | Anne M. Metzger | Optometrist | 4 Garden Ctr 100, Broomfield, CO 80020-7090 | 2005-12-01 |
| 1790040368 | Anne H Metzger | Pharmacist | 725 S Ludlow St, Dayton, OH 45402-2610 | 2012-07-10 |
| Street Address |
4422 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322263 | Courtney Elizabeth Selvia | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1144827163 | Megan Leigh Torrijos | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1205433224 | Deborah Baker Graham | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1275130353 | Brittany Nicole Bowers | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1134726367 | Grace Esther Barge | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
| 1881291011 | Ryan Michael Blair | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
| 1396352670 | Jacie Nicole Hartman | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| 1336756642 | Shardae Annt'e Wilson | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| 1649887951 | Caitlin Marie Ireland | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| 1063027803 | Emily Gabrielle Kemble | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204042 | Casey Corullo Boersma | Behavioral Analyst | 12219 Golden Harvest Dr, Fort Wayne, IN 46845-9030 | 2020-01-24 |
| 1790339737 | Julie Pettibone | Behavioral Analyst | 4719 S Calhoun St, Fort Wayne, IN 46807-2811 | 2019-07-29 |
| 1063077535 | Pathway Aba LLC | Behavioral Analyst | 5651 Coventry Ln Ste 226, Fort Wayne, IN 46804-7145 | 2019-05-09 |
| 1114495835 | Amy Sheefel | Behavioral Analyst | 201 E Rudisill Blvd Ste B100, Fort Wayne, IN 46806-1738 | 2018-11-12 |
| 1336651736 | Great Heights Aba Inc. | Behavioral Analyst | 343 W Suttenfield St, Fort Wayne, IN 46807-1339 | 2017-10-26 |
| 1851819759 | Chelsea Wahl-bridge | Behavioral Analyst | 2270 Lake Ave Ste 101, Fort Wayne, IN 46805-5360 | 2017-08-31 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1831542380 | Small Steps - Giant Leaps, Inc. | Behavioral Analyst | 7429 Nature Trail Dr, Fort Wayne, IN 46835-1425 | 2016-07-20 |
| 1497116578 | Brenton Cox | Behavioral Analyst | 3948 New Vision Dr, Suite D, Fort Wayne, IN 46845-1720 | 2016-03-16 |
| 1700241866 | Wendy Renee Boehm | Behavioral Analyst | 7631 Lakeridge Dr, Fort Wayne, IN 46819-1969 | 2015-12-16 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on MRS. ANNE SCHULTZ METZGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.