Jillian Rosenquist
Behavior Technician in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1932089620
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1932089620
- Entity type
- Individual (NPI-1)
- Name
- Jillian Rosenquist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2025
- Certification date
- Sep 4, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-456070 | IN | Yes |
Practice location
5750 Falls DrFort Wayne, IN 46804-7147
Phone 260-204-5719
Mailing address
5750 Falls DrFort Wayne, IN 46804-7147
Phone 260-204-5719
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