Juwan Gordon Maffett
Individual provider Active NPI Behavior Technician · Merrillville, IN
NPI 1972307528 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1972307528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-422579 (IN)
- Practice address
- 8398 Mississippi St
Merrillville, IN 46410-6316 - Phone
- (219) 755-4049
- NPI assigned
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-422579 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessabilities, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-422579 | IN | Yes |
Addresses
Primary practice location
8398 Mississippi St
Merrillville, IN 46410-6316
Mailing address
8398 Mississippi St
Merrillville, IN 46410-6316
Phone (219) 755-4049
Other providers in Merrillville, IN
- Ashley Madajczyk
- Amber Maddox
- Madhumita Bhojraj MD,PC
- Kimberly Jo Madrigal
- Valerie Madvek
- Magno Medical LLC
- Elizabeth Hong Magno
- Sia Magnus
- Janine Kabir Magura
- Mark David Magura
All providers in Merrillville, 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 Apr 2, 2025. 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.