Organization
BEHAVIOR ANALYSIS SUPERVISORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAMES AMSTUTZ BCBA (OWNER)
(260) 615-0530
Entity
Organization
Contact information
Practice address
10827 KATHY DR, FORT WAYNE, IN 46835-9763
(260) 615-0530
Mailing address
10827 KATHY DR, FORT WAYNE, IN 46835-9763
(260) 615-0530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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