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

Jacqueline Rose Burtnette

Individual provider Behavior Technician · NPI 1740995091

Jacqueline Rose Burtnette is a Behavior Technician in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

201 E Rudisill Blvd Ste 100B
Fort Wayne, IN 46806-1756
Phone: (260) 255-3556
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 number1740995091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2023
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023
Mailing address201 E Rudisill Blvd Ste B100, Fort Wayne, IN 46806-1738

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