NPI 1316158983 · live from the CMS NPI Registry
A.W. Holdings, LLC
Psychologist, Intellectual & Developmental Disabilities in Fort Wayne, IN. National Provider Identifier 1316158983, active.
NPI record
| NPI | 1316158983 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Intellectual & Developmental Disabilities 103TM1800X |
| Practice location | 8515 Bluffton Rd, Fort Wayne, IN 46809 |
| Practice phone | 260-744-6145 |
| Enumerated | May 25, 2007 |
| Last updated | July 7, 2025 |
| Authorized official | Douglas Beebe, Ceo |
| Other names | Benchmark Human Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Case Management | 251B00000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Home Health | 251E00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Supports Brokerage | 251X00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | — |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | — |
| Psychologist, Intellectual & Developmental Disabilities primary | 103TM1800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.