MELISSA GRAVES PETRY MELISSA
NPI 1275324832
Behavior Technician in Fort Wayne, IN

Active since May 14, 2025
4410 EXECUTIVE BLVD, FORT WAYNE, IN 46808(888) 515-1793 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Graves Petry Melissa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA GRAVES PETRY MELISSA (NPI 1275324832) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1275324832
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMELISSA GRAVES PETRY MELISSA
Location Address4410 EXECUTIVE BLVDFort Wayne, IN 46808-1135
Mailing Address11585 S 540 EFerdinand, IN 47532-9463
Sole ProprietorNo
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
NPI 1275324832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4410 EXECUTIVE BLVD, Fort Wayne, IN 46808

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Counselor (Mental Health)
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808
Behavior Technician
4410 EXECUTIVE BLVD
FORT WAYNE, IN 46808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Graves Petry Melissa's NPI number?

The NPI number for Melissa Graves Petry Melissa is 1275324832. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Melissa Graves Petry Melissa located?

Melissa Graves Petry Melissa practices at 4410 Executive Blvd, Fort Wayne, IN 46808. The listed phone number is (888) 515-1793.

What is Melissa Graves Petry Melissa's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Melissa Graves Petry Melissa was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.