Anela Boehm

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60361 Issued in TX

Practice address

911 N Goliad St
Rockwall, TX 75087-2230

Phone

(469) 458-9021

NPI assigned

Dec 18, 2020

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anela Kantarevic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavioral Transformations, LLC

  • Behavior Analyst
  • Garland, TX
  • NPI 1316336043
  NPD (past)

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1528654035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872230",
            "telephone_number": "469-458-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "ANELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-22-60361",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-20-124166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANELA",
            "last_name": "KANTAREVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Bleyer
• Blue Umbrella Autism Academy
• Morgan Tiana Blunt, M.S.
• Jennifer Stroup Bobo, AUD
• Lauren Nicole Bockhorn, MD
• Sydney Erin Boese
• Nakaili J Boggess
• Gary A Bonacquisti, MD
• Shatara Bonds
• Cassidy Booth

• Behavior Analyst in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.