Individual
ANDREW REUM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 LAKE AVE, FORT WAYNE, IN 46805-5359
(260) 444-5649
Mailing address
2270 LAKE AVE, FORT WAYNE, IN 46805-5359
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-26-16896
IN
106E00000X
Assistant Behavior Analyst
Primary
0-26-16896
IN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
04/23/2026
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