AMY MARRA (NPI# 1275016628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275016628 |
| Entity Type | Individual |
| Full Name | AMY MARRA |
| Practice Address |
4935 Hillegas Rd Ste 200 Fort Wayne IN 46818-1934 |
| Practice Telephone | 2603381241 |
| Mailing Telephone | 2603381241 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BACB350274 | IN | Behavioral Health & Social Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4935 HILLEGAS RD STE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881734697 | Possibilities Northeast, LLC. | Psychologist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2007-02-08 |
| 1629692405 | Nicole Kuhn | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2020-06-08 |
| 1659995769 | Lauren Ashley Hampton | Developmental Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2020-06-04 |
| 1720638406 | Ashley Noelle Yoder | Speech-Language Pathologist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-09-16 |
| 1477103463 | Emalee Ann Reichenbach | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-09-12 |
| 1801445424 | Anna Marrah | Developmental Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-09-06 |
| 1649826991 | Allison Goepfrich | Developmental Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-08-13 |
| 1982265385 | Brittany Ormiston | Occupational Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-06-26 |
| 1639735731 | Marie Metzler | Developmental Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-05-14 |
| 1205391117 | Mallory Shupe | Speech-Language Pathologist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| 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 | 46818 |
Please comment or provide details below to improve the information on AMY MARRA.
| 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.