Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY CORULLO BOERSMA, MA, BCBA
ActiveCASEY CORULLO BOERSMA, MA, BCBA is a Behavior Analyst healthcare provider located in FORT WAYNE, Indiana. NPI 1689204042 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · FORT WAYNE, IN
Registration Details
- NPI Number
- 1689204042
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2020 (6.5135070573798 yrs)
- Last Updated
- Jan 24, 2020
Practice Information
- Address
-
12219 GOLDEN HARVEST DRFORT WAYNE, IN, 468459030Browse IN providers · Browse ZIP 46845
- Phone
- 2604670090
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. RACHEL MAE MILLER | MA, BCBA, LLP | 1891954665 |
| MS. LIZBETH ANN ANDERSON | M.S., BCBA | 1417186180 |
| MISS EVONNE NA THOMAS I | NURSE ASSISTANT | 1306168877 |
| AMY BENILDE COOPER | EDD, BCBA | 1871802991 |
| PAUL DAVID MCCOMAS | BS, BCBA | 1255640371 |
| MRS. REBECCA MARIE-ROSE FULCHER | M.A., BCBA | 1366744518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.