Active NPI
Erin Brazel, RBT
- Behavior Technician
- Fort Wayne, IN
National Provider Identifier
1497645030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-202985
- Practice address
- 4118 N Clinton St
Fort Wayne, IN 46805-1210 - Phone
- (502) 795-0773
- NPI assigned
- Jul 7, 2025
- Last updated
- Jul 7, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-202985 | IN | Primary |
Addresses
Primary practice location
4118 N Clinton St
Fort Wayne, IN 46805-1210
Mailing address
3006 Eastpoint Pkwy
Louisville, KY 40223-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-202985 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1497645030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 EASTPOINT PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4118 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051210",
"telephone_number": "502-795-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZEL",
"first_name": "ERIN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-22-202985",
"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 Jul 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.