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CASEY CORULLO BOERSMA MA, BCBA
NPI 1689204042
Behavior Analyst in Fort Wayne, IN

Active since January 24, 2020
12219 GOLDEN HARVEST DR, FORT WAYNE, IN 46845(260) 467-0090 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casey Corullo Boersma Ma, Bcba NPPES

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

CASEY CORULLO BOERSMA MA, BCBA (NPI 1689204042) is an individual behavior analyst provider in Fort Wayne, Indiana and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1689204042
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCASEY CORULLO BOERSMACredential: MA, BCBA
Location Address12219 GOLDEN HARVEST DRFort Wayne, IN 46845-9030
Mailing Address12219 Golden Harvest DrFort Wayne, IN 46845-9030 · (260) 467-0090
Phone(260) 467-0090
Sole ProprietorNo
Enumeration DateJanuary 24, 2020
✔ NPI 1689204042 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.
12219 GOLDEN HARVEST DR, Fort Wayne, IN 46845
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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 Casey Boersma's NPI number?

The NPI number for Casey Boersma is 1689204042. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Casey Boersma located?

Casey Boersma practices at 12219 Golden Harvest Dr, Fort Wayne, IN 46845. The listed phone number is (260) 467-0090.

What is Casey Boersma'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 Casey Boersma was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.