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

Jacob Gerondale, RBT

Individual provider Behavior Technician · NPI 1518458256

Jacob Gerondale, RBT is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

12912 Coldwater Rd Ste E
Fort Wayne, IN 46845-8871
Phone: (260) 245-1455
Fax: (317) 815-3861
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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 number1518458256
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESMay 29, 2018
Mailing address6060 N College Ave, Indianapolis, IN 46220-1907

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