Gerard Michael Beccia Wrenn, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3480 E Route 66
Flagstaff, AZ 86004-4032

Phone

(928) 438-9985

Fax

(317) 520-8200

NPI assigned

Nov 29, 2016

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leaps Forward, LLC

  • Community/Behavioral Health Agency
  • Renton, WA
  • NPI 1649511171
  NPD (past)
• Patterns Behavioral Services Washington Inc

  • Community/Behavioral Health Agency
  • Lynnwood, WA
  • NPI 1336616192

  Behavior Analyst

  NPD (past)
• Seattle Behavior Consulting & Therapy, LLC

  • Behavior Analyst
  • Seattle, WA
  • NPI 1124455142
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1215470083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 E ROUTE 66",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044032",
            "telephone_number": "928-438-9985",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENN",
        "first_name": "GERARD",
        "middle_name": "MICHAEL BECCIA",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "178349671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-22-62712",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Woods, PT, DPT
• Sean Daniel Woods, M.D.
• Guadalupe Elizabeth Woodson, FNP-C
• Janet Lynn Woolston, M.A.
• Hannah Wotasik
• Sarah E. Wright, AU.D.
• Kristine Wullenweber
• Ryan Wurzell, MS, CCC-SLP
• Wyatt Woodard MSN FNP PC
• Wyatt Woodard MSN FNP PLLC

• Behavior Analyst in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.