MARTIN DOUGLAS MYERS BCBA
NPI 1093192775
Behavior Analyst in Fort Wayne, IN

Active since May 01, 2015
4422 E STATE BLVD, FORT WAYNE, IN 46815(260) 471-9263(765) 450-6664 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Martin Douglas Myers Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN DOUGLAS MYERS BCBA (NPI 1093192775) is an individual behavior analyst provider in Fort Wayne, Indiana and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1093192775
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMARTIN DOUGLAS MYERSCredential: BCBA
Location Address4422 E STATE BLVDFort Wayne, IN 46815-6917
Mailing AddressP.o. Box 3070, 3500 Depauw BoulevardIndianapolis, IN 46268-6135 · (855) 324-0885 · Fax (765) 450-6664
Fax(765) 450-6664
Sole ProprietorNo
Enumeration DateMay 1, 2015
Last NPPES UpdateDecember 8, 2017
NPI 1093192775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

4422 E STATE BLVD, Fort Wayne, IN 46815

Other Identifiers 1

Other1-15-18339Bcba Board Certification

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4422 E STATE BLVD
FORT WAYNE, IN 46815
Physical Therapist
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093192775, enumerated as an "individual" on May 01, 2015.

The provider is located at 4422 E STATE BLVD FORT WAYNE, IN 46815 and the phone number is (260) 471-9263.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.