Anne Boehmcke, BCBA, BHP

Individual provider Active NPI Behavior Analyst · East Hartford, CT

NPI 1881949006 · NPPES record last updated Sep 30, 2025

Key facts

NPI
1881949006
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
144 Main St Ste G
East Hartford, CT 06118-3239
Phone
(188) 875-4039
NPI assigned
Jul 14, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BEH-000426AZMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes
Specialist 174400000X
Behavior Analyst 103K00000X BEH-000426 AZ

Addresses

Primary practice location

144 Main St Ste G
East Hartford, CT 06118-3239

Mailing address

144 Main St Ste G
East Hartford, CT 06118-3239

Other practice location 1

144 Hopmeadow St Unit 202
Weatogue, CT 06089-7910
Phone (845) 821-4147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2025.

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1881949006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MAIN ST STE G",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAIN ST STE G",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183239",
            "telephone_number": "188-875-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Hopmeadow St Unit 202",
            "address_purpose": "LOCATION",
            "city": "Weatogue",
            "state": "CT",
            "postal_code": "060897910",
            "country_code": "US",
            "telephone_number": "845-821-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHMCKE",
        "first_name": "ANNE",
        "credential": "BCBA, BHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.