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ORIGINS DEVELOPMENTAL LLC NPI 1952837346


NPI Information

NPI: 1952837346
Provider Name: ORIGINS DEVELOPMENTAL LLC

Other Name: ORIGINS DEVELOPMENTAL

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
4118 N CLINTON ST
FORT WAYNE, IN
ZIP 46805
Phone: (260) 483-4988
Get Directions

ORIGINS DEVELOPMENTAL LLC is a behavior analyst in Fort Wayne, IN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. ORIGINS DEVELOPMENTAL LLC NPI is 1952837346. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Origins Developmental.

The provider's business location address is:

4118 N CLINTON ST
FORT WAYNE, IN
ZIP 46805-210
Phone: (260) 483-4988

The provider's authorized official is Jason Shaw .
The authorized official title is Chief Operating Officer and has the following contact phone number (260) 483-4988.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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