Individual
MICKAYLA MILBY
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
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
106E00000X
Assistant Behavior Analyst
0-25-16251
IN
106S00000X
Behavior Technician
RBT-22-224961
IN
Other
Enumeration date
04/16/2025
Last updated
04/21/2026
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