Individual
MRS. ANNE SCHULTZ METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4422 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10379
—
103K00000X
Behavior Analyst
2012013519
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10379
BCBA CERTIFICATE
—
Enumeration date
05/15/2012
Last updated
05/02/2018
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