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SHAPE BEHAVIOR SOLUTIONS, LLC
NPI 1558021485
Behavior Analyst in Fort Wayne, IN

Active since December 20, 2021
5534 SAINT JOE RD, FORT WAYNE, IN 46835(630) 240-4437 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Shape Behavior Solutions, Llc NPPES

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

SHAPE BEHAVIOR SOLUTIONS, LLC (NPI 1558021485) is a healthcare organization registered as a behavior analyst in Fort Wayne, Indiana and active in the NPI registry since December 2021. The organization lists Christina M Imgrund, Partner, as its authorized official.

NPPES Registry Identity

NPI1558021485
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSHAPE BEHAVIOR SOLUTIONS, LLC
Location Address5534 SAINT JOE RDFort Wayne, IN 46835-3328
Mailing Address1389 W 86th St # 177Indianapolis, IN 46260-2101
Phone(630) 240-4437
Organization SubpartNo
Authorized OfficialChristina M ImgrundPartner · (630) 240-4437
Enumeration DateDecember 20, 2021
Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
✔ NPI 1558021485 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.
5534 SAINT JOE RD, Fort Wayne, IN 46835
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

RIKKI TREESH LCSW
Social Worker (Clinical)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (512) 710-8171
AMBERVALE LLC
Clinic/Center (Urgent Care)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (406) 309-6462
AMBERVALE LLC
Clinic/Center (Multi-Specialty)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (406) 309-6462
KEIGHT WRIGHTMIRE, LLC
Social Worker (Clinical)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (812) 269-2087
EVERKIND HOMECARE LLC
In Home Supportive Care
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (219) 588-2438
DRIFTWOOD THERAPIST
Counselor (Mental Health)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (412) 426-5339
EZ MEDICAL SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (320) 577-7824
MR. HAGAN COY LAWSON III
Nurse Practitioner (Psychiatric/Mental Health)
5534 SAINT JOE RD
FORT WAYNE, IN 46835
Allen County (765) 546-2506

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 Shape Behavior Solutions, LLC's NPI number?

The NPI number for Shape Behavior Solutions, LLC is 1558021485. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Shape Behavior Solutions, LLC located?

Shape Behavior Solutions, LLC is located at 5534 Saint Joe Rd, Fort Wayne, IN 46835. The listed phone number is (630) 240-4437.

What is Shape Behavior Solutions, LLC'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 Shape Behavior Solutions, LLC was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.