Kiara Converse

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4426 Tacoma Ave
Fort Wayne, IN 46807-2653

Phone

(864) 704-7008

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Limitless Behavior Analysis LLC

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1922710326
  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1689369936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 TACOMA AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072653",
            "telephone_number": "864-704-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 TACOMA AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072653",
            "telephone_number": "864-704-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERSE",
        "first_name": "KIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie A Conrad, LPN
• Nicole Conrad, 106S00000X
• Chelsey Conroy, LCSW
• Consulting & Counseling Associates, LLC
• Alexandria Contreraz, LMT
• Kimberly Sue Converse, OT
• Gabrielle Conway, DO
• Jaquan Jamak Conway
• Krystal Conway
• Michael W Conway, MD

• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.