IndividualActive
Abby Anderson
NPI 1316809957 · Behavior Technician · Fort Wayne, IN
Provider details
- NPI number
- 1316809957
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
201 E Rudisill Blvd Ste 10
Fort Wayne, IN 46806-1756
Phone: (260) 255-3665
Approximate (ZIP-level) locationGet directions
Mailing address
201 E Rudisill Blvd Ste 10
Fort Wayne, IN 46806-1756
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.