ASHLEE KEUNEKE


Address: 2270 Lake Ave, Suite 101, Fort Wayne, IN 46805-5359
Phone: 8886671181

ASHLEE KEUNEKE (NPI# 1821334624) 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) 1821334624
Entity Type Individual
Full Name ASHLEE KEUNEKE
Credential BCBA
Practice Address 2270 Lake Ave
Suite 101
Fort Wayne
IN 46805-5359
Mailing Address Po Box 10343
Fort Wayne
IN 46851-0343
Practice Telephone 8886671181
Practice Fax Number 8882657858
Mailing Telephone 8886671181
Mailing Fax Number 8882657858
Enumeration Date 2012-12-26
Last Update Date 2012-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 2270 LAKE AVE
SUITE 101
City FORT WAYNE
State IN
Zip Code 46805-5359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407179559 Forensic Nursing Specialties, Inc Clinic/Center 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 2010-03-03
1932729175 Lauren Luley Behavioral Analyst 2270 Lake Ave, Fort Wayne, IN 46805-5359 2020-04-17
1083189682 Megan Kessler Behavioral Analyst 2270 Lake Ave, Fort Wayne, IN 46805-5359 2018-10-10
1285007070 Sara N. Hammond Behavioral Analyst 2270 Lake Ave, Suite 101, Fort Wayne, IN 46805-5359 2015-11-03
1629411293 Heather Marie Stauffer Behavioral Analyst 2270 Lake Ave, Suite 101, Fort Wayne, IN 46805-5359 2013-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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City FORT WAYNE
Zip Code 46805

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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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