Emily A Abdalla, RBT
Individual provider Active NPI Behavior Technician · Fort Wayne, IN
NPI 1346880879 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1346880879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5601 Coventry LN.
Fort Wayne, IN 46804 - Phone
- (260) 459-6040
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Autism Center, Inc | Current |
Accepting new patients |
Locations
5601 Coventry Ln
Fort Wayne, IN 46804
Phone (260) 755-1438
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5601 Coventry LN.
Fort Wayne, IN 46804
Mailing address
6007 Arbor Tree CV
Fort Wayne, IN 46804-4243
Other providers in Fort Wayne, IN
- Deborah O Abaitey
- Abbas Angels Inc
- Layth Abbood
- Kristin J. Abbs
- Abc Counseling, LLC
- Ahmed Abdelmageed
- Abdinoor Medical LLC
- Sebah Abdulaziz
- Danyelle R Aber
- Aberdeen Group LLC
All providers in Fort Wayne, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.