MRS. WENDY RENEE BOEHM (NPI# 1700241866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700241866 |
| Entity Type | Individual |
| Full Name | MRS. WENDY RENEE BOEHM |
| Practice Address |
7631 Lakeridge Dr Fort Wayne IN 46819-1969 |
| Practice Telephone | 2604158526 |
| Mailing Telephone | 2604158526 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
7631 LAKERIDGE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46819-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093030066 | Amber N Hollins | Occupational Therapy Assistant | 2027 Woodhaven Dr, Fort Wayne, IN 46819-1038 | 2010-04-02 |
| 1073610689 | Mir Abdul Karim Moshref | Family Medicine | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2006-09-19 |
| 1265863187 | Karim Moshref Md PC | Clinic/Center | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2013-12-02 |
| 1558669762 | Abigail Jordan Fulton | Physical Therapy Assistant | 6530 Maywood Cir, Fort Wayne, IN 46819-1246 | 2011-03-11 |
| 1659400711 | Dianne R. Stitzer | Psychologist | 1410 Lower Huntington Rd, Fort Wayne, IN 46819-1359 | 2007-03-05 |
| 1831279447 | David K. Harrison Dds PC | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2006-10-17 |
| 1194265652 | Waseem M. Taraji | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2017-03-03 |
| 1346502713 | Keith Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2012-06-12 |
| 1720209000 | David K Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2007-05-02 |
| 1134319437 | Diann Rosellen Deutsch | Registered Nurse | 2220 Dale Dr, Fort Wayne, IN 46819-1604 | 2007-08-01 |
| Find all providers in zip 46819 | ||||
| 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 |
| 1316302565 | Dewayna Watts | Behavioral Analyst | 10313 Aboite Center Road, Fort Wayne, IN 46804 | 2015-12-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46819 |
Please comment or provide details below to improve the information on MRS. WENDY RENEE BOEHM.
| 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.