MARISSA ROSE VAN DE WEG
NPI 1730075656
Behavior Technician in Fort Wayne, IN

Active since June 16, 2025
201 E RUDISILL BLVD STE 100B, FORT WAYNE, IN 46806(260) 255-3665 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa Rose Van De Weg NPPES

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

MARISSA ROSE VAN DE WEG (NPI 1730075656) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1730075656
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARISSA ROSE VAN DE WEG
Location Address201 E RUDISILL BLVD STE 100BFort Wayne, IN 46806-1756
Mailing Address11510 N 400 WDecatur, IN 46733-9789 · (260) 706-1049
Sole ProprietorNo
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
NPI 1730075656 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 STE 100B, Fort Wayne, IN 46806

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
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD STE 100B
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 Marissa Van De Weg's NPI number?

The NPI number for Marissa Van De Weg is 1730075656. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Marissa Van De Weg located?

Marissa Van De Weg practices at 201 E Rudisill Blvd Ste 100B, Fort Wayne, IN 46806. The listed phone number is (260) 255-3665.

What is Marissa Van De Weg'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 Marissa Van De Weg was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.