Taylor Renee Sarrazin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

101 W Dupont Rd
Fort Wayne, IN 46825-1915

Phone

(260) 358-7156

NPI assigned

Jan 7, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maple Seed Farms, Inc.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1205583002
  NPD
• Maple Seed Farms, Inc.

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1396197919
  NPD (past)

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1376352997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915",
            "telephone_number": "260-358-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAZIN",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Charles Sarkisian, M.D.
• Alinda Madhab Sarma
• Macy Sarno, M.D.
• Riel Sarno, M.D.
• Thomas E Sarosi, M.D.
• Ronald L. Sarrazine, M.D.
• Gregory M Sassmannshausen, M.D.
• Jeffrey Walter Sassmannshausen, M.D.
• Heather Sateesh
• Praveen Sateesh, MD

• 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 Jan 7, 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.