JERYN LEE WALDERA BCBA
NPI 1972990034
Behavior Analyst in Hudson, WI

Q: What is Jeryn Waldera's NPI number?

The NPI number for Jeryn Waldera is 1972990034. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Q: What is Jeryn Waldera'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 Jeryn Waldera was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 16, 2015

458 COULEE TRL, HUDSON, WI 54016(715) 410-1182 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeryn Lee Waldera Bcba NPPES

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

JERYN LEE WALDERA BCBA (NPI 1972990034) is an individual behavior analyst provider in Hudson, Wisconsin and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1972990034

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJERYN LEE WALDERACredential: BCBA

Location Address458 COULEE TRLHudson, WI 54016-8156

Mailing Address458 Coulee TrlHudson, WI 54016-8156 · (715) 410-1182

Phone(715) 410-1182

Sole ProprietorYes

Enumeration DateApril 16, 2015

✔ NPI 1972990034 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.

458 COULEE TRL, Hudson, WI 54016

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Other Identifiers 1

Other1-15-17917Bcba Certification

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 Jeryn Waldera's NPI number?

The NPI number for Jeryn Waldera is 1972990034. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Jeryn Waldera located?

Jeryn Waldera practices at 458 Coulee Trl, Hudson, WI 54016. The listed phone number is (715) 410-1182.

What is Jeryn Waldera'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 Jeryn Waldera was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.