Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053993410 Individual Practitioner Female Practitioner

Misty Marie Caenepeel , BCBA

Behavior Analyst • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Misty Caenepeel, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fort Wayne, IN. Practice services are available at 2270 LAKE AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2270 Lake Avenue

Fort Wayne, IN 46805

Telephone 2604445649
Fax 8882657858

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
207 Specialists

Practicing in Fort Wayne, IN (2160 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: 2021-04-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bacb Certificate
1-20-44602 (IN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kaylee Gray

Behavior Technician

NPI 1013713379
Guadalupe Ruiz

Behavior Technician

NPI 1013891258
Wai Wai Tun

Behavior Technician

NPI 1023995610
Shane Delaney

Behavior Technician

NPI 1063395168
Kenzie Kreider

Behavior Technician

NPI 1083596704
Amber Ashley

Behavior Technician

NPI 1104623966

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 18, 2024

Registered at 2270 LAKE AVENUE, FORT WAYNE, IN 46805 (Tel: 2604445649)

📍
Updated Business Mailing Address October 18, 2024

Registered at 2270 LAKE AVENUE, FORT WAYNE, IN 46805 (Tel: 2604445649)

👤
Provider Name / Credentials Updated October 18, 2024

Recorded as MISTY CAENEPEEL, BCBA

NPI Profile Active April 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2021

Registered at 2270 LAKE AVE, FORT WAYNE, IN 468055359 (Tel: 2604445649)

📍
Updated Business Mailing Address April 26, 2021

Registered at 6922 E 700 S, COLUMBIA CITY, IN 467259258 (Tel: 2602223242)

👤
Provider Name / Credentials Updated April 26, 2021

Recorded as MISTY MAJEWSKI, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2021

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053993410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2021
Last Update: October 18, 2024
Sole Proprietor: No

Mailing Address

2270 Lake Avenue

Fort Wayne, IN 46805

Phone: 2604445649

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.