Heather Kaas
Behavior Technician in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1104715879
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1104715879
- Entity type
- Individual (NPI-1)
- Name
- Heather Kaas
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-449324 | IN | Yes |
Practice location
6131 N Clinton StFort Wayne, IN 46825-4905
Phone 260-459-6040
Mailing address
5601 Coventry LnFort Wayne, IN 46804-7145
Phone 260-459-6040
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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