IndividualActive
Marissa Van De Weg
NPI 1730075656 · Behavior Technician · Fort Wayne, IN
Marissa Van De Weg is a Behavior Technician provider in Fort Wayne, IN (NPI 1730075656).
Provider details
- NPI number
- 1730075656
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 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
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
201 E Rudisill Blvd Ste 100b
Fort Wayne, IN 46806-1756
Phone: (260) 255-3665
Street-level locationGet directions
Mailing address
11510 N 400 W
Decatur, IN 46733-9789
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Marissa Van De Weg's NPI number?
- Marissa Van De Weg's National Provider Identifier (NPI) is 1730075656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Van De Weg's specialty?
- Marissa Van De Weg is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Marissa Van De Weg located?
- Marissa Van De Weg's practice location on file with NPPES is 201 E Rudisill Blvd Ste 100b, Fort Wayne, IN 46806-1756.
- What is Marissa Van De Weg's phone number?
- The practice phone number listed in the NPPES registry for Marissa Van De Weg is (260) 255-3665.
- Is Marissa Van De Weg's NPI active?
- Yes — Marissa Van De Weg's NPI (1730075656) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.