MICAIAH J CAUDILL


Address: 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435
Phone: 2604596040

MICAIAH J CAUDILL (NPI# 1932765211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932765211
Entity Type Individual
Full Name MICAIAH J CAUDILL
Practice Address 10313 Aboite Center Rd
Fort Wayne
IN 46804-5435
Mailing Address 6131 N Clinton St
Fort Wayne
IN 46825-4905
Practice Telephone 2604596040
Mailing Telephone 2604596040
Enumeration Date 2019-05-13
Last Update Date 2019-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-19-84185 IN Behavioral Health & Social Service Providers

Office Location

Street Address 10313 ABOITE CENTER RD
City FORT WAYNE
State IN
Zip Code 46804-5435

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568563211 Qhg of Fort Wayne, Inc D/b/a Redimed Clinic/Center 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2006-09-26
1174173157 Casey N Williams Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-09-12
1255984308 Marrius D Jones Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-07-18
1548813694 Paige M Fisher Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-07-18
1275186322 Ariel A Shaneyfelt Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-07-18
1578129979 Bradly M Daniels Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-05-13
1912563321 Sophia T Jones Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-05-13
1750947032 Brittney A Johnson Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-05-13
1205492600 Andrea K Emenhiser Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-05-13
1013571066 Alyssa R Smith Behavior Technician 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 2019-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821629007 Jennifer Lyn Jefferies Behavior Technician 4422 East 21st Street West Bldg., Fort Wayne, IN 46815-6917 2020-01-28
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1013573427 Danielle N Degitz Behavior Technician 6131 N Clinton St, Fort Wayne, IN 46825-4905 2019-05-13
1073013280 Meghan Burns Behavior Technician 5750 Falls Dr Ste 102, Fort Wayne, IN 46804-7147 2018-02-14
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
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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Dataset Information

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.

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