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

Maria Terasa Van Dyke

Individual provider Supports Brokerage Agency · NPI 1992573133

Maria Terasa Van Dyke is a Supports Brokerage Agency in Kettering, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

2269 S Dixie Dr
Kettering, OH 45409-2018
Phone: (937) 723-0112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X · Licence 251X00000X (OH)

Record details

NPI number1992573133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023