Individual
DOMINIC ANTHONY IRELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 FALLS DR, FORT WAYNE, IN 46804-7147
(260) 589-6485
Mailing address
529 GREENBRIAR DR, BLUFFTON, IN 46714-1005
(260) 589-6485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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