Organization Active NPI

Refined Behavior LLC

Doing business as Refined Behavior Strategies

  • Behavior Analyst
  • Fort Wayne, IN
National Provider Identifier
1811620701
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
REFINED BEHAVIOR LLC
Doing business as
Refined Behavior Strategies
Practice address
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone
(765) 704-0228
Fax
(765) 704-0228
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mrs. Annah Peters, BCBA
Title
Founder
Phone
(765) 610-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328

Mailing address

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone (765) 704-0228

Other names 1

  • Refined Behavior Strategies Doing business as

National Provider Directory

National Provider Directory

Locations

1201 E 5th St
Ste 224
Anderson, IN 46012

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1811620701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353328",
            "telephone_number": "765-704-0228",
            "fax_number": "765-704-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353328",
            "telephone_number": "765-704-0228",
            "fax_number": "765-704-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINED BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ANNAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "765-610-1448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refined Behavior Strategies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

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