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

Nicholas Annunziata

Individual provider Behavior Technician · NPI 1407512908

Nicholas Annunziata is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5601 Coventry Ln
Fort Wayne, IN 46804-7145
Phone: (260) 459-6040
Fax: (260) 459-6010
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407512908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address5601 Coventry Ln, Fort Wayne, IN 46804-7145

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