Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093192775 Individual Practitioner Male Practitioner

Martin Douglas Myers , BCBA

Behavior Analyst • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Martin Myers, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fort Wayne, IN. Practice services are available at 4422 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4422 E State Blvd

Fort Wayne, IN 468156917

Telephone 2604719263
Fax 7654506664

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

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 Bcba Board Certification
1-15-18339

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ashley Summers , DPT

Physical Therapist

NPI 1003189499

Doctor of Physical Therapy

Austin Williams , RBT

Behavior Technician

NPI 1003485640

Registered Behavior Technician

Brieonnah Lamb , RBT

Behavior Technician

NPI 1003508425

Registered Behavior Technician

Tamia Wagstaff

Behavior Technician

NPI 1003603861
Jade Grepke

Behavior Technician

NPI 1003700311
Alicia White , BCBA

Behavior Analyst

NPI 1013373562

Board Certified Behavior Analyst

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2017

Registered at 4422 E STATE BLVD, FORT WAYNE, IN 468156917 (Tel: 2604719263)

📍
Updated Business Mailing Address December 08, 2017

Registered at P.O. BOX 3070, 3500 DEPAUW BOULEVARD, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated December 08, 2017

Recorded as MARTIN MYERS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Behavior Analyst

NPI Profile Active May 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2015

Registered at 2270 LAKE AVE, SUITE 101, FORT WAYNE, IN 468055359 (Tel: 8886671181)

📍
Updated Business Mailing Address May 01, 2015

Registered at PO BOX 10343, FORT WAYNE, IN 468510343 (Tel: 8886671181)

👤
Provider Name / Credentials Updated May 01, 2015

Recorded as MARTIN MYERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2015

Behavior Analyst

🟢
Initial NPI Registration & Enumeration May 01, 2015

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: 1093192775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2015
Last Update: December 08, 2017
Sole Proprietor: No

Mailing Address

P.o. Box 3070, 3500 Depauw Boulevard

Indianapolis, IN 462686135

Phone: 8553240885

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.