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

Jack Matthew Dibuono

Individual provider Behavior Technician · NPI 1629962337

Jack Matthew Dibuono is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2270 Lake Ave
Fort Wayne, IN 46805-5359
Phone: (260) 444-5649
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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 number1629962337
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address2270 Lake Ave, Fort Wayne, IN 46805-5359

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