Organization · Type 2 NPI

A.w. Holdings, LLC

Intellectual & Developmental Disabilities Psychologist · Fort Wayne, IN

NPI number 1316158983 Active

Practice location

8515 Bluffton Rd
Fort Wayne, IN 46809-3022

Fax (260) 444-0006

Other practice locations

  • 3322 Rte 22, Branchburg, NJ 08876-3476 · (260) 744-6145

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Home Health Agency 251E00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
Early Intervention Provider Agency 252Y00000XNone listed
Intellectual Disabilities Intermediate Care Facility 315P00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed

Intellectual & Developmental Disabilities Psychologist: Definition to come...

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About NPI 1316158983

A.w. Holdings, LLC's National Provider Identifier is 1316158983, issued on May 25, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 7, 2025.