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

Maegan Banicki

Individual provider Developmental Therapist · NPI 1659101970

Maegan Banicki is a Developmental Therapist in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042
Phone: (260) 497-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1659101970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042

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