Active NPI
Ashlee Keuneke, BCBA
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1821334624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2270 Lake Ave
Suite 101
Fort Wayne, IN 46805-5359 - Phone
- (888) 667-1181
- Fax
- (888) 265-7858
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2270 Lake Ave
Suite 101
Fort Wayne, IN 46805-5359
Mailing address
PO Box 10343
Fort Wayne, IN 46851-0343
Phone (888) 667-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Applied Behavior Analysis Institute | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Fort Wayne, IN
- NPI 1619286754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1821334624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10343",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468510343",
"telephone_number": "888-667-1181",
"fax_number": "888-265-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 LAKE AVE",
"address_2": "SUITE 101",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055359",
"telephone_number": "888-667-1181",
"fax_number": "888-265-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEUNEKE",
"first_name": "ASHLEE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.