Krystal Gordon
Krystal Gordon is a Behavior Technician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.
- Licensed in
- IN
- In the registry since
- 2025
Practice location Address checks out
6131 N Clinton StFort Wayne, IN 46825-4905
Phone: (260) 459-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IN) |
|---|
Record details
| NPI number | 1972470318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | October 21, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 6131 N Clinton St, Fort Wayne, IN 46825-4905 |
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