Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interdisciplinary Community Autism Network, Inc

Organization Counselor · NPI 1336579754

Interdisciplinary Community Autism Network, Inc is a Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 E Cook Rd Ste 100
Fort Wayne, IN 46825-3600
Phone: (260) 498-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 20042225A (IN)
School Psychologist Taxonomy 103TS0200X
Clinical Social Worker Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X
Developmental Therapist Taxonomy 222Q00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1336579754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marla Souder — President/Coo · (260) 498-9933
Other names Ican
NPI enumeratedNovember 21, 2013
Last updated in NPPESNovember 21, 2013
Mailing address2599 County Road 72, Auburn, IN 46706-9624

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