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

Jessica Beaty

Individual provider Behavior Technician · NPI 1154129955

Jessica Beaty is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

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 number1154129955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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