Individual
AIDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 FALLS DR, FORT WAYNE, IN 46804-7147
(260) 702-9898
Mailing address
333 N 16TH ST APT 4, DECATUR, IN 46733-1455
(317) 840-4246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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