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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000426 | AZ | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
Other providers in East Hartford, CT
- Black & Mental Heatlh, LLC
- Josephine M Bladykas
- Leo R Blais
- David B. Blonder
- Christopher M Bloomfield
- Briana Lynn Bogrette
- Elizabeth Boig
- Margo Ann Bojko
- Amy Bologna
- Craig Cesare Bonanni
All providers in East Hartford, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.