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

Brynnan Nicole Kellogg

Individual provider Behavior Technician · NPI 1881515070

Brynnan Nicole Kellogg is a Behavior Technician in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

601 Noble Dr
Fort Wayne, IN 46825-5544
Phone: (260) 420-9332
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-2830510 (IN)

Record details

NPI number1881515070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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