Individual
ALIZESHA PISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(317) 815-5501
Mailing address
8816 CONWAY CT, FORT WAYNE, IN 46825-2853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-405935
IN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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