Individual
DAZAH REGUSTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 HILLEGAS RD, FORT WAYNE, IN 46808-3859
(260) 338-1241
Mailing address
4935 HILLEGAS RD, FORT WAYNE, IN 46818-1906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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