Individual
ABBY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
201 E RUDISILL BLVD STE 10, FORT WAYNE, IN 46806-1756
(260) 255-3665
Mailing address
201 E RUDISILL BLVD STE 10, FORT WAYNE, IN 46806-1756
(260) 255-3665
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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