JODIE LYNN DERUYTER MS, BA, BCBA
NPI 1104176387
Behavior Analyst in Madison, WI
NPI Status: Active since September 14, 2012
Contact Information
1210 FOURIER DR
SUITE #100
MADISON, WI
ZIP 53717
Phone: (608) 662-9327
Fax: (608) 662-9041
- Individual
- Female
- Behavior Analyst
About JODIE DERUYTER
This page provides the complete NPI Profile along with additional information for Jodie Deruyter, a provider established in Madison, Wisconsin with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1104176387 assigned on September 2012. The practitioner's primary taxonomy code is 103K00000X with license number 45-140 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1104176387
- Provider Name
- JODIE LYNN DERUYTER MS, BA, BCBA
- Other Name
- JODIE LYNN WALDBAUER
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1210 FOURIER DR SUITE #100 MADISON, WI 53717
- Location Phone
- (608) 662-9327
- Location Fax
- (608) 662-9041
- Mailing Address
- 1210 FOURIER DRIVE SUITE #100 MADISON, WI 53717
- Mailing Phone
- (608) 662-9327
- Mailing Fax
- (608) 662-9041
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2012
- Last Update Date
- 09-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 45-140
- License State
- WI
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 7 | 6 | 3 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 7 | 12 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 7 + 1 + 2 + 3 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104176387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376893636 | ERICA E LANCOUR LPC Individual | Counselor (Professional) | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1518201870 | MARGOT KAY SQUIRE BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1659619203 | CHRISTINA MARIE AKERS CCC-SLP Individual | Speech-Language Pathologist | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1578987822 | MEGAN MARIE PUDDY BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1770987356 | CRYSTAL RENEE HELD BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1144603655 | ERIN LEIGH JUNEMANN BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1023491545 | ANDREA KOEPKE WHALEN BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1164859054 | EMILY SUSAN MARTIN MS, OTR Individual | Occupational Therapist | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1467827576 | KIMBERLY A KNIPPEL BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1831556182 | KIMBERLY JOY WUNSCHEL BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1699134353 | JODI ELIZABETH DRYER LPC Individual | Counselor (Professional) | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
| 1235689803 | CORTNEY BINDRICH Individual | Psychologist | 1210 FOURIER DR MADISON, WI 53717 (608) 662-9327 |
| 1013297787 | JODIE LYNN GARCIA LCSW Individual | Social Worker | 1210 FOURIER DR MADISON, WI 53717 (608) 662-9327 |
| 1134502651 | CHRISTINE MARIE LAURENT BCBA Individual | Behavior Analyst | 1210 FOURIER DR SUITE #100 MADISON, WI 53717 (608) 662-9327 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104176387, enumerated in the NPI registry as an "individual" on September 14, 2012
The provider is located at 1210 Fourier Dr Suite #100 Madison, Wi 53717 and the phone number is (608) 662-9327
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
This NPI record was last updated on September 14, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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