Trisa Immroth
Trisa Immroth is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4422 E State BlvdFort Wayne, IN 46815-6917
Phone: (260) 471-9263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1194514893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 1, 2025 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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4422 E State Blvd, Fort Wayne, IN 46815-6917 · (260) 471-9263