JENNY VICKHAMMER BCBA
NPI 1265904072
Behavior Analyst in Boise, ID

Active since December 19, 2018
12553 W EXPLORER DR, BOISE, ID 83713(406) 549-6413 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2020, Dec 19, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Behavior Analyst

About JENNY VICKHAMMER

This page provides the complete NPI Profile along with additional information for Jenny Vickhammer, a provider established in Boise, Idaho with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1265904072 assigned on December 2018. The practitioner's primary taxonomy code is 103K00000X with license number 1-18-31807 (). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1265904072 Verify this NPI
Provider Name
JENNY VICKHAMMER BCBA
Gender
Female
Entity Type
Individual
Location Address
12553 W EXPLORER DR BOISE, ID 83713
Location Phone
(406) 549-6413
Mailing Address
1073 OVERLAND TRAIL ST MIDDLETON, ID 83644
Mailing Phone
(406) 250-3056
Is Sole Proprietor?
No
Enumeration Date
12-19-2018
Last Update Date
06-30-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
1-18-31807
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265904072, enumerated as an "individual" on December 19, 2018.

The provider is located at 12553 W EXPLORER DR BOISE, ID 83713 and the phone number is (406) 549-6413.

Behavior Analyst with taxonomy code 103K00000X.