Active NPI
Kimberly Lauren Wenerd, BCBA
- Behavior Analyst
- Wilmington, DE
National Provider Identifier
1124668959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39330
- Practice address
- 210 Bellefonte Ave
Wilmington, DE 19809-2502 - Phone
- (302) 762-2636
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-39330 | DE | Primary |
Addresses
Primary practice location
210 Bellefonte Ave
Wilmington, DE 19809-2502
Mailing address
1601 W 10TH St
Wilmington, DE 19805-2707
Phone (717) 448-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandywine Center for Autism, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Wilmington, DE
- NPI 1649673427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1124668959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 W 10TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052707",
"telephone_number": "717-448-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BELLEFONTE AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198092502",
"telephone_number": "302-762-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENERD",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "DE",
"license": "1-19-39330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.