Individual
KATIE M TOURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12155675
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/23/2019
Last updated
12/06/2021
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