Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265904072 Individual Practitioner Female Practitioner

Jenny Vickhammer , BCBA

Behavior Analyst • Boise, ID

Professional Overview & Biography Verified Profile Summary

Jenny Vickhammer, BCBA is a registered healthcare professional specializing in Behavior Analyst in Boise, ID. Practice services are available at 12553 W EXPLORER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12553 W Explorer Dr

Boise, ID 837131601

Telephone 4065496413
Associated Practice Facility / Clinic
🏢 Child Development Center, Inc Facility NPI 1750422978

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
60 Specialists

Practicing in Boise, ID (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-18-31807

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
William Stoskopf

Behavior Technician

NPI 1083338297
Mercedes Courchesne-Stedman

Behavior Technician

NPI 1093598294
Kristina Rainwater

Occupational Therapist

NPI 1184102527
Lillian Eaton

Behavior Technician

NPI 1235871211
Ashley Weiss

Behavior Technician

NPI 1285225086
Nicole Sekloch , BCBA

Behavior Analyst

NPI 1376182006

Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 30, 2020

Registered at 12553 W EXPLORER DR, BOISE, ID 837131601 (Tel: 4065496413)

📍
Updated Business Mailing Address June 30, 2020

Registered at 1073 OVERLAND TRAIL ST, MIDDLETON, ID 836445879 (Tel: 4062503056)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Behavior Analyst (License #1-18-31807 in None)

NPI Profile Active December 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2018

Registered at 3335 LT MOSS RD, MISSOULA, MT 598047222 (Tel: 4065496413)

📍
Updated Business Mailing Address December 19, 2018

Registered at 3335 LT MOSS RD, MISSOULA, MT 598047222 (Tel: 4065496413)

👤
Provider Name / Credentials Updated December 19, 2018

Recorded as JENNY VICKHAMMER, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Behavior Analyst (License #PSY-BA-LIC-2592 in MT)

🟢
Initial NPI Registration & Enumeration December 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jenny Vickhammer. Be the first to share your experience!

Sign in to leave a review for Jenny Vickhammer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265904072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2018
Last Update: June 30, 2020
Sole Proprietor: No

Mailing Address

1073 Overland Trail St

Middleton, ID 836445879

Phone: 4062503056

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.