Individual provider · Type 1 NPI

Marissa Rose Van de Weg

Behavior Technician · Fort Wayne, IN

NPI number 1730075656 Active

Practice location

201 E Rudisill Blvd Ste 100B
Fort Wayne, IN 46806-1756

Call (260) 255-3665 Map

Mailing address

11510 N 400 W
Decatur, IN 46733-9789

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1730075656

Marissa Rose Van de Weg's National Provider Identifier is 1730075656, issued on Jun 16, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 16, 2025.