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

Dallas Denique Tennessee, BS

Individual provider Behavior Technician · NPI 1023635497

Dallas Denique Tennessee, BS is a Behavior Technician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

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.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-123066 (IN)

Record details

NPI number1023635497
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJuly 1, 2020
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

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