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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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