New Wave Behavior Management, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW WAVE BEHAVIOR MANAGEMENT, LLC.

Doing business as

A.I.D. Behavior Management

Practice address

4610 Fairfield Ave
Fort Wayne, IN 46807-2721

Phone

(765) 207-0020

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Erica Pearson, MS

Title

Co-Owner

Phone

(260) 557-5518

Specialties & licenses 1

Addresses

Other names 1

• A.I.D. Behavior Management Doing business as

Locations

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1689194615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10362",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468520362",
            "telephone_number": "260-557-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072721",
            "telephone_number": "765-207-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE BEHAVIOR MANAGEMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "260-557-5518",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.I.D. Behavior Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Horizons Counseling LLC
• New Leaf Recreation, LLC
• New Life Chiropractic Center, Inc.
• New Life Health & Wellness SW, LLC
• New Solutions Coaching and Counseling LLC
• John F Newbauer, ED.D.
• Samantha Marie Newell
• Amber Newlin
• Jeff Newman
• Malik Newman, RBT

• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.