Brooke Shively
Brooke Shively is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
12938 Coldwater RdFort Wayne, IN 46845-9517
Phone: (317) 815-5501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1437025376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | October 16, 2025 |
| Last updated in NPPES | October 16, 2025 |
| Certification date | October 16, 2025 |
| Mailing address | 9923 Northbrook Valley Dr Apt 1, Fort Wayne, IN 46825-2373 |
Other providers in Fort Wayne
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Serenity Shaw, RBT
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Amanda Shearer, RBT
12938 Coldwater Rd, Fort Wayne, IN 46845-9517 · (317) 815-5501
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