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

Individual provider Behavior Analyst · NPI 1073120200

Malyssa L Holley, RBT is a Behavior Analyst in Fort Wayne, Indiana. Registered with an NPI since 2020.

In the registry since
2020
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

5601 Coventry Ln
Fort Wayne, IN 46804-7145
Phone: (260) 755-1438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1073120200
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

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