Zion Salome Feagin

Individual provider Active NPI Behavior Technician · Valparaiso, IN

NPI 1861362410 · NPPES record last updated Nov 19, 2025

Key facts

NPI
1861362410
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
9371153248 (IN)
Practice address
501 Wall St
Valparaiso, IN 46383-2537
Phone
(317) 960-4052
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9371153248INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ccaba Past
since Nov 18, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 9371153248 IN Yes

Addresses

Primary practice location

501 Wall St
Valparaiso, IN 46383-2537

Mailing address

2938 Carol St
Portage, IN 46368-3404

Other providers in Valparaiso, IN

All providers in Valparaiso, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.