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Kim Phan Wolff , MS, BCBA, COBA

Behavior Analyst β€’ Fairlawn, OH

Active NPI 1376871194 Individual Practitioner Female Practitioner
Practice location in NPPES

3505 Embassy Pkwy
Fairlawn, OH 443338405

Call 3302716107 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3505 Embassy Pkwy

Fairlawn, OH 443338405

Telephone 3302716107
Fax 3307064705
Organization at the Same NPPES Address or Phone
Wolff & Phan Autism Center, Llc Facility NPI 1750979233

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairlawn and Ohio

38 active clinicians are listed under Behavior Analyst with a practice address in Fairlawn, OH (1,659 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairlawn

0% of these 38 clinicians have the CMS telehealth indicator.

0% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcba Certificate
1-09-6600

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location March 18, 2022

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

πŸ“
Updated Business Mailing Address March 18, 2022

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

πŸ“
Updated Business Mailing Address January 09, 2021

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

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

Behavior Analyst (license number reported to NPPES: OH COBA.91)

πŸ“
Updated Practice Location October 08, 2018

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

πŸ“
Updated Business Mailing Address October 08, 2018

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

πŸ‘€
Provider Name / Credentials Updated October 08, 2018

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

βœ…
NPI Profile Active June 10, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2013

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

πŸ“
Business Mailing Address (Initial Record) June 10, 2013

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

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2013

Recorded as KIM PHAN, M.S.

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

Behavior Analyst (license number reported to NPPES: TN 1096600)

🟒
Initial NPI Registration & Enumeration December 07, 2009

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.