NPIMap

Organization Active NPI

Partners in Autism

  • Behavior Analyst
  • Fort Wayne, IN
National Provider Identifier
1104236272
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PARTNERS IN AUTISM
Practice address
601 Noble Dr
Fort Wayne, IN 46825-5544
Phone
(260) 420-9332
Fax
(866) 446-0198
NPI assigned
Apr 29, 2014
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William T Guest
Title
Owner
Phone
(260) 420-9332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

601 Noble Dr
Fort Wayne, IN 46825-5544

Mailing address

601 Noble Dr
Fort Wayne, IN 46825-5544
Phone (260) 420-9332

National Provider Directory

National Provider Directory

Locations

3030 Lake Ave
Ste 20
Fort Wayne, IN 46805
Phone (260) 420-9332

601 Noble Dr
Fort Wayne, IN 46825
Phone (260) 420-9332

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1104236272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NOBLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255544",
            "telephone_number": "260-420-9332",
            "fax_number": "866-446-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NOBLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255544",
            "telephone_number": "260-420-9332",
            "fax_number": "866-446-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-420-9332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.