Organization
NEW WAVE BEHAVIOR MANAGEMENT, LLC.
Active
Organization
NEW WAVE BEHAVIOR MANAGEMENT, LLC.
Active
Other names
A.I.D. Behavior Management
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA PEARSON MS (CO-OWNER)
(260) 557-5518
Entity
Organization
Contact information
Practice address
4610 FAIRFIELD AVE, FORT WAYNE, IN 46807-2721
(765) 207-0020
Mailing address
PO BOX 10362, FORT WAYNE, IN 46852-0362
(260) 557-5519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IN
Other
Enumeration date
06/21/2017
Last updated
09/03/2021
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