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

Corvid Landsaw

Individual provider Behavior Technician · NPI 1457169583

Corvid Landsaw is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5601 Coventry Ln
Fort Wayne, IN 46804-7145
Phone: (260) 459-6040
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1457169583
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address5601 Coventry Ln, Fort Wayne, IN 46804-7145

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