Wolf Behavioral Consulting

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1052476 Issued in NE

Legal business name

WOLF BEHAVIORAL CONSULTING

Practice address

12930 Izard St
Omaha, NE 68154-1248

Phone

(402) 306-2333

Fax

(610) 300-2333

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Keery L. Wolf, BCBANPI 1649439159

Title

Owner

Phone

(402) 306-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keery L. Wolf, BCBA

  • Behavior Analyst
  • Daytona Beach, FL
  • NPI 1649439159
  NPD (past) Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1285886101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 IZARD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541248",
            "telephone_number": "402-306-2333",
            "fax_number": "610-300-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 IZARD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541248",
            "telephone_number": "402-306-2333",
            "fax_number": "610-300-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KEERY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-306-2333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "1052476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1052476",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Lee Wolaver, COTA/L
• Jane Wolbach-Lowes, PHARMD
• Sandra Wolcott
• Lemlem Woldemichial
• Terri Ann Wolever
• Allison Wolf, DDS
• Ann Elizabeth Wolf
• Diane Carol Wolf, CCC-SLP
• Elizabeth Roze Wolf
• Erin Elizabeth Wolf, M.S.

• Behavior Analyst in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.