Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hallie Shockome, BCBA

Individual provider Behavior Analyst · NPI 1013618578

Hallie Shockome, BCBA is a Behavior Analyst in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5601 Coventry Ln
Fort Wayne, IN 46804-7145
Phone: (260) 459-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-64225 (IN)

Record details

NPI number1013618578
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 13, 2025
Mailing address5601 Coventry Ln, Fort Wayne, IN 46804-7145

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