Individual provider · Type 1 NPI

Brynnan Nicole Kellogg

Behavior Technician · Fort Wayne, IN

NPI number 1881515070 Active

Practice location

601 Noble Dr
Fort Wayne, IN 46825-5544

Call (260) 420-9332 Map

Mailing address

3212 County Road 53
Butler, IN 46721-9615

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-2830510 (IN)

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 1881515070

Brynnan Nicole Kellogg's National Provider Identifier is 1881515070, issued on Jul 23, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 23, 2026.