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Kashena S Dexter

Behavior Technician in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1982240578
StatusActive
Last updated in NPPESNov 19, 2019

Details

NPI
1982240578
Entity type
Individual (NPI-1)
Name
Kashena S Dexter
Sex
Female
Sole proprietor
No
Enumeration date
Nov 19, 2019
Last updated
Nov 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-18-66088INYes

Practice location

6131 N Clinton St
Fort Wayne, IN 46825-4905

Phone 260-459-6040

Mailing address

6131 N Clinton St
Fort Wayne, IN 46825-4905

Phone 260-459-6040

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