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Breale Mousavi, RBT
NPI 1174353759 · Behavior Technician · Fort Wayne, IN
Breale Mousavi, RBT is a Behavior Technician provider in Fort Wayne, IN (NPI 1174353759).
Provider details
- NPI number
- 1174353759
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-23-266163 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Frequently asked questions
- What is Breale Mousavi's NPI number?
- Breale Mousavi's National Provider Identifier (NPI) is 1174353759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breale Mousavi's specialty?
- Breale Mousavi is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Breale Mousavi located?
- Breale Mousavi's practice location on file with NPPES is 4422 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Breale Mousavi's phone number?
- The practice phone number listed in the NPPES registry for Breale Mousavi is (260) 471-9263.
- Is Breale Mousavi's NPI active?
- Yes — Breale Mousavi's NPI (1174353759) is active in the NPPES registry as of the last update on 2024-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.