Stanley Keith Wacholz, BS BIS
NPI 1548811904ActiveIndividual· Assistant Behavior Analyst· Hayden Lake, ID
Assistant Behavior Analyst (BS BIS) in Hayden Lake, Idaho, with an NPI issued in September 2019.
Overview
| NPI | 1548811904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BS BIS |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2019 |
| Last updated in NPPES | Sep 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assistant Behavior Analyst Primary | 106E00000X | — | ID |
| Assistant Behavior Analyst | 106E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|