IndividualActive
Dallas Tennessee, BS
NPI 1023635497 · Behavior Technician · Fort Wayne, IN
Dallas Tennessee, BS is a Behavior Technician provider in Fort Wayne, IN (NPI 1023635497).
Provider details
- NPI number
- 1023635497
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-20-123066 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2020-07-01
- Last updated
- 2022-05-03
- Certified
- 2022-05-03
Frequently asked questions
- What is Dallas Tennessee's NPI number?
- Dallas Tennessee's National Provider Identifier (NPI) is 1023635497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dallas Tennessee's specialty?
- Dallas Tennessee is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dallas Tennessee located?
- Dallas Tennessee's practice location on file with NPPES is 4422 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Dallas Tennessee's phone number?
- The practice phone number listed in the NPPES registry for Dallas Tennessee is (260) 471-9263.
- Is Dallas Tennessee's NPI active?
- Yes — Dallas Tennessee's NPI (1023635497) is active in the NPPES registry as of the last update on 2022-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.