Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376871194 Individual Practitioner Female Practitioner

Kim Phan Wolff , MS, BCBA, COBA

Behavior Analyst • Fairlawn, OH

Professional Overview & Biography Verified Profile Summary

Kim Wolff, MS, BCBA, COBA is a registered healthcare professional specializing in Behavior Analyst in Fairlawn, OH. Practice services are available at 3505 EMBASSY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3505 Embassy Pkwy

Fairlawn, OH 443338405

Telephone 3302716107
Fax 3307064705
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fairlawn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
38 Specialists

Practicing in Fairlawn, OH (1661 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: 2022-03-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License OH COBA.91

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 Bcba Certificate
1-09-6600

Practice Associates & Co-Workers

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

16 Associated Practitioners
Courtney Schmitz

Behavior Technician

NPI 1033032644
Ethan Redelberger

Behavior Technician

NPI 1043134513
Sierra Hurle

Behavior Technician

NPI 1144143439
Jewel Henegar

Behavior Technician

NPI 1144144064
Selena Thompson

Behavior Technician

NPI 1194648592
Meghan Foos

Behavior Technician

NPI 1356264295

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location March 18, 2022

Registered at 3505 EMBASSY PKWY, FAIRLAWN, OH 443338405 (Tel: 3302716107)

📍
Updated Business Mailing Address March 18, 2022

Registered at 3505 EMBASSY PKWY STE 100, FAIRLAWN, OH 443338403 (Tel: 3027161073)

📍
Updated Business Mailing Address January 09, 2021

Registered at 5006 HONEYSTONE CIR, MEDINA, OH 442566596 (Tel: 6176108434)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2021

Behavior Analyst (License #COBA.91 in OH)

📍
Updated Practice Location October 08, 2018

Registered at 490 WHITE POND DR, AKRON, OH 443201122 (Tel: 3307773284)

📍
Updated Business Mailing Address October 08, 2018

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated October 08, 2018

Recorded as KIM WOLFF, M.S., BCBA, COBA

NPI Profile Active June 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2013

Registered at 2580 JORDAN RIDGE DR, NASHVILLE, TN 372183622 (Tel: 6176108434)

📍
Updated Business Mailing Address June 10, 2013

Registered at 2580 JORDAN RIDGE DR, NASHVILLE, TN 372183622 (Tel: 6176108434)

👤
Provider Name / Credentials Updated June 10, 2013

Recorded as KIM PHAN, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2013

Behavior Analyst (License #1096600 in TN)

🟢
Initial NPI Registration & Enumeration December 07, 2009

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: 1376871194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2009
Last Update: March 18, 2022
Sole Proprietor: No

Mailing Address

3505 Embassy Pkwy Ste 100

Fairlawn, OH 443338403

Phone: 3027161073

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.