Matthew R Dejesus

NPI #1689205387 in Fort Wayne, Indiana

Provider Information

NPI Number: 1689205387
Entity Type: Individual
Name: Matthew R Dejesus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 31, 2020
Last Updated: Nov 13, 2024

Practice Location

Address: 6131 N CLINTON ST
City: Fort Wayne
State: Indiana
ZIP Code: 46825-4905
Phone: (260) 459-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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