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

Antonia Berelsman

Individual provider Behavior Technician · NPI 1619542594

Antonia Berelsman is a Behavior Technician in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12938 Coldwater Rd, Fort Wayne, IN 46845-9517 — (317) 815-5501

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-68357 (IN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-167712 (IN)

Record details

NPI number1619542594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address12938 Coldwater Rd, Fort Wayne, IN 46845-9517

Other providers in Fort Wayne