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

Bryce Jacob Ingram

Individual provider Behavior Technician · NPI 1831074590

Bryce Jacob Ingram is a Behavior Technician in Mishawaka, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

4609 Grape Rd Ste D1B
Mishawaka, IN 46545-8259
Phone: (574) 217-1624
Show map & directions

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

Additional practice locations (1)

  • 4623 Grape Rd Ste C1, Mishawaka, IN 46545-2603 — (574) 217-1624

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-461824 (IN)

Record details

NPI number1831074590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address5776 Grape Rd, Pmb 171, Mishawaka, IN 46545

Other providers in Mishawaka