Organization
COURAGEOUS HEARTS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHAK RENZONI (OWNER)
(845) 535-9728
Entity
Organization
Contact information
Practice address
110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
(845) 535-9728
Mailing address
429 E DUPONT RD UNIT 2199, FORT WAYNE, IN 46825-2051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
05/07/2026
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