Individual
MARIAH GERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
(260) 489-1774
Mailing address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
(260) 489-1774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2019
Last updated
03/14/2023
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