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

Shardae Annt'e Wilson, RBT

Individual provider Behavior Technician · NPI 1336756642

Shardae Annt'e Wilson, RBT is a Behavior Technician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
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

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-18-71181 (IN)

Record details

NPI number1336756642
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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