IndividualActive
Cody Fernow
NPI 1689429342 · Behavior Technician · Boise, ID
Provider details
- NPI number
- 1689429342
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1087 E Park Blvd
Suite 100
Boise, ID 83712-7722
Phone: (208) 369-3168
Street-level locationGet directions
Mailing address
2718 N Greenville Ave
Kuna, ID 83634-5254
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.