Individual
JILL DIANE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 459-6040
(260) 459-6010
Mailing address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 459-6040
(260) 459-6010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8995
IN
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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