Individual
MEGAN KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 LAKE AVE, FORT WAYNE, IN 46805-5359
(888) 667-1181
Mailing address
2270 LAKE AVE, FORT WAYNE, IN 46805-5359
(888) 667-1181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11832133
IN
Other
Enumeration date
10/10/2018
Last updated
12/09/2019
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