JODIE LYNN DERUYTER MS, BA, BCBA
NPI 1104176387
Behavior Analyst in Madison, WI

Q: What is Jodie Deruyter's NPI number?

The NPI number for Jodie Deruyter is 1104176387. It was assigned to this individual provider in the NPPES registry on September 14, 2012. The provider is also known as Jodie Lynn Waldbauer.

Q: What is Jodie Deruyter's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jodie Deruyter was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2012

1210 FOURIER DR, SUITE #100, MADISON, WI 53717(608) 662-9327(608) 662-9041 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jodie Lynn Deruyter Ms, Ba, Bcba NPPES

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

JODIE LYNN DERUYTER MS, BA, BCBA (NPI 1104176387) is an individual behavior analyst provider in Madison, Wisconsin, licensed in Wisconsin (45-140) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1104176387

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJODIE LYNN DERUYTERCredential: MS, BA, BCBA

Location Address1210 FOURIER DR, SUITE #100Madison, WI 53717-1969

Mailing Address1210 Fourier Drive, Suite #100Madison, WI 53717-1969 · (608) 662-9327 · Fax (608) 662-9041

Phone(608) 662-9327

Fax(608) 662-9041

Sole ProprietorNo

Enumeration DateSeptember 14, 2012

✔ NPI 1104176387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in WI · 45-140

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.

1210 FOURIER DR, Madison, WI 53717

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Other Names 1

Former Name (1)Jodie Lynn Waldbauer

Other Providers at the Same Location NPPES 13

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

JODIE LYNN GARCIA LCSW

Social Worker

1210 FOURIER DR
MADISON, WI 53717

Dane County (608) 662-9327

CHRISTINE MARIE LAURENT BCBA

Behavior Analyst

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

ERIN LEIGH JUNEMANN BCBA

Behavior Analyst

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

EMILY SUSAN MARTIN MS, OTR

Occupational Therapist

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

CORTNEY BINDRICH

Psychologist

1210 FOURIER DR
MADISON, WI 53717

Dane County (608) 662-9327

ERICA E LANCOUR LPC

Counselor (Professional)

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

KIMBERLY A KNIPPEL BCBA

Behavior Analyst

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

MARGOT KAY SQUIRE BCBA

Behavior Analyst

1210 FOURIER DR, SUITE #100
MADISON, WI 53717

Dane County (608) 662-9327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Deruyter's NPI number?

The NPI number for Jodie Deruyter is 1104176387. It was assigned to this individual provider in the NPPES registry on September 14, 2012. The provider is also known as Jodie Lynn Waldbauer.

Where is Jodie Deruyter located?

Jodie Deruyter practices at 1210 Fourier Dr Suite #100, Madison, WI 53717. The listed phone number is (608) 662-9327.

What is Jodie Deruyter's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jodie Deruyter was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.