Audrey Koenigsknecht

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50625 Issued in FL

Practice address

1925 Birkdale Dr
Wellington, FL 33414-5809

Phone

(954) 552-6668

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sprout Behavioral Services, Inc.

  • Behavior Analyst
  • Oakland Park, FL
  • NPI 1649727090
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1366893406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 210",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261531",
            "telephone_number": "954-552-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 BIRKDALE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145809",
            "telephone_number": "954-552-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 Sheridan St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330261531",
            "country_code": "US",
            "telephone_number": "954-552-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIGSKNECHT",
        "first_name": "AUDREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-50625",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Leigh Knorr
• Niaza Knowles I
• Sarah Knowlton, M.D.
• En Hui Ko, O.D.
• Jennifer Caitlyn Kocher, DMD
• Lindsey Plante Kohn, LMFT
• Taylor Koos
• Sheridan Lynn Koplow, ED.D.
• Micah Mae Kramer, PA 9107084
• Zackary Kramer, APRN

• Behavior Analyst in Wellington, FL
• Providers in Wellington, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.