NPI 1801262159 · live from the CMS NPI Registry
Matthew J Amstutz, BCBA
Behavior Analyst in Fort Wayne, IN. National Provider Identifier 1801262159, active.
NPI record
| NPI | 1801262159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4422 E State Blvd, Fort Wayne, IN 46815 |
| Practice phone | 260-471-9263 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | August 20, 2015 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.