Holly Ann Seidel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5750 Falls Dr
Fort Wayne, IN 46804-7147

Phone

(260) 702-9898

NPI assigned

Sep 29, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1265305809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 INVERNESS LAKES TRL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468043842",
            "telephone_number": "269-830-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 FALLS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047147",
            "telephone_number": "260-702-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vahid-David Sedaghat, M.D.
• Katarzyna N Sedlaczek, FNP-C
• Sarah Seely, M.A. CCC-SLP
• Heather Seewald, MS
• David Segal
• Jenny Elizabeth Seiss, PSY. D., HSPP
• Seiss, LLC
• Nicholas Selby
• Select Physical Therapy Holdings, Inc.
• Select Specialty Hospital - Fort Wayne Inc

• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.