Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558198374 Individual Practitioner Female Practitioner

Raven Nino

Behavior Analyst • Fort Wayne, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Raven Nino is a registered healthcare professional specializing in Behavior Analyst in Fort Wayne, IN. Official NPI practice address is registered at 6131 N CLINTON ST.

Practice Location & Contact Primary Location

Practice Address

6131 N Clinton St

Fort Wayne, IN 468254905

Telephone 2604596040
Associated Practice Facility / Clinic
🏢 Children's Autism Center, Inc Facility NPI 1215105663

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: 2025-09-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IN 1-25-84164

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License None 0-25-15786

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Anna Dickerson

Behavior Technician

NPI 1003606153
Emily Carnes

Behavior Technician

NPI 1003606740
Keegan Brown

Behavior Technician

NPI 1003799628
NPI 1013474220

Master of Arts, Board Certified Behavior Analyst

Hallie Shockome , BCBA

Behavior Analyst

NPI 1013618578

Board Certified Behavior Analyst

Taylor Mercado-Goeglein

Behavior Technician

NPI 1013789783

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Behavior Analyst (License #1-25-84164 in IN)

👤
Provider Name / Credentials Updated February 03, 2025

Recorded as RAVEN NINO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Assistant Behavior Analyst (License #0-25-15786 in None)

NPI Profile Active September 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2024

Registered at 6131 N CLINTON ST, FORT WAYNE, IN 468254905 (Tel: 2604596040)

📍
Updated Business Mailing Address September 16, 2024

Registered at 5601 COVENTRY LN, FORT WAYNE, IN 468047145 (Tel: 2604596040)

👤
Provider Name / Credentials Updated September 16, 2024

Recorded as RAVEN SHROYER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2024

Behavior Technician (License #RBT-21-173049 in None)

🟢
Initial NPI Registration & Enumeration September 16, 2024

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 Raven Nino. Be the first to share your experience!

Sign in to leave a review for Raven Nino

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

NPI Administrative Meta

NPI Number: 1558198374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2024
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

5601 Coventry Ln

Fort Wayne, IN 468047145

Phone: 2604596040

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.