Active NPI
Courageous Hearts ABA LLC
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1982559282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- COURAGEOUS HEARTS ABA LLC
- Practice address
- 110 E Wayne St FL 12
Fort Wayne, IN 46802-2611 - Phone
- (845) 535-9728
- NPI assigned
- Mar 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchak Renzoni
- Title
- Owner
- Phone
- (845) 535-9728
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
110 E Wayne St FL 12
Fort Wayne, IN 46802-2611
Mailing address
429 E Dupont Rd Unit 2199
Fort Wayne, IN 46825-2051
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1982559282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 E DUPONT RD UNIT 2199",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E WAYNE ST FL 12",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022611",
"telephone_number": "845-535-9728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURAGEOUS HEARTS ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-02",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "RENZONI",
"authorized_official_first_name": "YITZCHAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-535-9728"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.