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Active NPI 1013618578 Individual Practitioner Female Practitioner

Hallie Shockome , BCBA

Behavior Analyst • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Hallie Shockome, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fort Wayne, IN. Practice services are available at 5601 COVENTRY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5601 Coventry Ln

Fort Wayne, IN 468047145

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: 2025-02-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IN 1-23-64225

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

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

Taylor Mercado-Goeglein

Behavior Technician

NPI 1013789783
Elisabeth Smith

Behavior Technician

NPI 1013893890

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 17, 2025

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

📍
Updated Business Mailing Address February 17, 2025

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

👤
Provider Name / Credentials Updated February 17, 2025

Recorded as HALLIE SHOCKOME, BCBA

NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2023

Registered at 7230 ENGLE RD STE 102, FORT WAYNE, IN 468042234 (Tel: 2603731050)

📍
Updated Business Mailing Address March 13, 2023

Registered at 1824 TOUBY PIKE STE B, KOKOMO, IN 469012573 (Tel: 7656287400)

👤
Provider Name / Credentials Updated March 13, 2023

Recorded as HALLIE ZOLMAN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Behavior Analyst (License #1-23-64225 in IN)

🟢
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013618578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: February 17, 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.