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

Matthew R Dejesus

Individual provider Behavior Technician · NPI 1689205387

Matthew R Dejesus is a Behavior Technician in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6131 N Clinton St
Fort Wayne, IN 46825-4905
Phone: (260) 459-6040
Show map & directions

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

Additional practice locations (1)

  • 4422 E State Blvd, Fort Wayne, IN 46815-6917 — (260) 471-9263

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-76981 (IN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-106957 (IN)

Record details

NPI number1689205387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address201 E Rudisill Blvd, Fort Wayne, IN 46806-1738

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