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

Origins Developmental LLC

Organization Behavior Analyst · NPI 1952837346

Origins Developmental LLC is a Behavior Analyst in Fort Wayne, Indiana. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4118 N Clinton St
Fort Wayne, IN 46805-1210
Phone: (260) 483-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1952837346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Shaw — Chief Operating Officer · (260) 483-4988
Other names Origins Developmental
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 4, 2017
Mailing address1824 Touby Pike Ste B, Kokomo, IN 46901-2573

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