MARY TACKETT
NPI 1659209781
Behavior Technician in Fort Wayne, IN

Active since May 11, 2026
201 E RUDISILL BLVD # B100, FORT WAYNE, IN 46806(260) 255-3665 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Tackett NPPES

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

MARY TACKETT (NPI 1659209781) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1659209781
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARY TACKETT
Location Address201 E RUDISILL BLVD # B100Fort Wayne, IN 46806-1738
Mailing Address1727 High StFort Wayne, IN 46808-2583
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
NPI 1659209781 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.
201 E RUDISILL BLVD # B100, Fort Wayne, IN 46806

Other Providers at the Same Location NPPES 9

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

Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806

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 Mary Tackett's NPI number?

The NPI number for Mary Tackett is 1659209781. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Mary Tackett located?

Mary Tackett practices at 201 E Rudisill Blvd # B100, Fort Wayne, IN 46806. The listed phone number is (260) 255-3665.

What is Mary Tackett'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 Mary Tackett was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.