Individual
JESSICA LEEANN RIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPECED BCBA
Contact information
Practice address
3201 STELLHORN RD STE I148, FORT WAYNE, IN 46815-4697
(855) 324-0885
(317) 520-8200
Mailing address
3201 STELLHORN RD STE I148, FORT WAYNE, IN 46815-4697
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-27052
IN
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-27052
BACB CERTIFICATION
CA
01
—
14107084
CAQH
—
05
—
300038435
—
IN
Enumeration date
07/25/2016
Last updated
12/14/2021
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