Individual
MATTHEW R DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6131 N CLINTON ST, FORT WAYNE, IN 46825-4905
(260) 459-6040
Mailing address
201 E RUDISILL BLVD, FORT WAYNE, IN 46806-1738
(260) 255-3665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76981
IN
106S00000X
Behavior Technician
RBT-19-106957
IN
Other
Enumeration date
01/31/2020
Last updated
11/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us