Individual
AUTUMN OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
(260) 338-4914
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
(260) 338-4914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-394943
—
Other
Enumeration date
04/07/2025
Last updated
04/17/2026
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