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Mary Tackett
NPI 1659209781 · on the registry since 2026
Practice
- Address
- 201 E Rudisill Blvd # B100
Fort Wayne, IN 46806 - Phone
- (260) 255-3665
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-11
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana