IndividualActive
Jesse Randolph
NPI 1902695018 · Behavior Technician · Fort Wayne, IN
Jesse Randolph is a Behavior Technician provider in Fort Wayne, IN (NPI 1902695018).
Provider details
- NPI number
- 1902695018
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
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
101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone: (260) 920-0982
Street-level locationGet directions
Mailing address
101 W Dupont Rd
Fort Wayne, IN 46825-1915
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Jesse Randolph's NPI number?
- Jesse Randolph's National Provider Identifier (NPI) is 1902695018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Randolph's specialty?
- Jesse Randolph is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jesse Randolph located?
- Jesse Randolph's practice location on file with NPPES is 101 W Dupont Rd, Fort Wayne, IN 46825-1915.
- What is Jesse Randolph's phone number?
- The practice phone number listed in the NPPES registry for Jesse Randolph is (260) 920-0982.
- Is Jesse Randolph's NPI active?
- Yes — Jesse Randolph's NPI (1902695018) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.