LYDIANN MACK RBT
NPI 1376355800
Behavior Technician in Fort Wayne, IN

Active since January 22, 2025
12938 COLDWATER RD, FORT WAYNE, IN 46845(317) 815-5501 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lydiann Mack Rbt NPPES

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

LYDIANN MACK RBT (NPI 1376355800) is an individual behavior technician in Fort Wayne, Indiana, licensed in Indiana (RBT-21-161705) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1376355800
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLYDIANN MACKCredential: RBT
Location Address12938 COLDWATER RDFort Wayne, IN 46845-9517
Mailing Address6966 County Road 62Saint Joe, IN 46785-9721
Sole ProprietorNo
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1376355800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IN · RBT-21-161705
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.
12938 COLDWATER RD, Fort Wayne, IN 46845

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Occupational Therapist (Pediatrics)
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845
Behavior Technician
12938 COLDWATER RD
FORT WAYNE, IN 46845

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 Lydiann Mack's NPI number?

The NPI number for Lydiann Mack is 1376355800. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Lydiann Mack located?

Lydiann Mack practices at 12938 Coldwater Rd, Fort Wayne, IN 46845. The listed phone number is (317) 815-5501.

What is Lydiann Mack's specialty?

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

What insurance does Lydiann Mack accept?

Health plans from CareSource list Lydiann Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydiann Mack was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.