Individual
JOHN SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 LAKE AVE STE 101, FORT WAYNE, IN 46805-5360
(260) 444-5649
Mailing address
2270 LAKE AVE STE 101, FORT WAYNE, IN 46805-5360
(260) 444-5649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51420
IN
Other
Enumeration date
10/06/2021
Last updated
02/21/2025
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