Individual provider Active NPI

Natalie Erdman, BCBA

  • Behavior Analyst
  • Fort Wayne, IN
National Provider Identifier
1194475145
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58435 Issued in IN
Practice address
7230 Engle Rd Ste 102
Fort Wayne, IN 46804-2234
Phone
(260) 373-1050
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-58435 IN Primary

Addresses

Primary practice location

7230 Engle Rd Ste 102
Fort Wayne, IN 46804-2234

Mailing address

7230 Engle Rd Ste 102
Fort Wayne, IN 46804-2234
Phone (260) 373-1050

Other practice location 1

80 Commercial Rd
Huntington, IN 46750-8805
Phone (260) 373-1050

Other practice location 2

4118 N Clinton St
Fort Wayne, IN 46805-1210
Phone (260) 373-1050

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1194475145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042234",
            "telephone_number": "260-373-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042234",
            "telephone_number": "260-373-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Commercial Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467508805",
            "country_code": "US",
            "telephone_number": "260-373-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4118 N Clinton St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468051210",
            "country_code": "US",
            "telephone_number": "260-373-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "NATALIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-58435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.