What is Charlie Cannon's NPI number?

Charlie Cannon's National Provider Identifier (NPI) is 1770381519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charlie Cannon's specialty?

Charlie Cannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Charlie Cannon located?

Charlie Cannon's practice location on file with NPPES is 2270 Lake Ave, Fort Wayne, IN 46805-5359.

What is Charlie Cannon's phone number?

The practice phone number listed in the NPPES registry for Charlie Cannon is (260) 444-5649.

Is Charlie Cannon's NPI active?

Yes — Charlie Cannon's NPI (1770381519) is active in the NPPES registry as of the last update on 2025-03-06.

IndividualActive

Charlie Cannon

NPI 1770381519 · Behavior Technician · Fort Wayne, IN

Charlie Cannon is a Behavior Technician provider in Fort Wayne, IN (NPI 1770381519).

Provider details

NPI number: 1770381519
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
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

2270 Lake Ave

Fort Wayne, IN 46805-5359

Phone: (260) 444-5649

Street-level locationGet directions

Mailing address