KATHRYN KELLY RETHLAKE
NPI 1902773328
Behavior Technician in Fort Wayne, IN

Active since October 21, 2025
601 NOBLE DR, FORT WAYNE, IN 46825(260) 420-9332 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Kelly Rethlake NPPES

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

KATHRYN KELLY RETHLAKE (NPI 1902773328) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1902773328
Entity TypeIndividual
Primary Taxonomy106S00000X
Provider Legal NameKATHRYN KELLY RETHLAKE
Location Address601 NOBLE DRFort Wayne, IN 46825-5544
Mailing Address601 Noble DrFort Wayne, IN 46825-5544
Sole ProprietorNo
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1902773328 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.
601 NOBLE DR, Fort Wayne, IN 46825

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
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Analyst
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825
Behavior Technician
601 NOBLE DR
FORT WAYNE, IN 46825

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 Kathryn Kelly Rethlake's NPI number?

The NPI number for Kathryn Kelly Rethlake is 1902773328. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Kathryn Kelly Rethlake located?

Kathryn Kelly Rethlake practices at 601 Noble Dr, Fort Wayne, IN 46825. The listed phone number is (260) 420-9332.

What is Kathryn Kelly Rethlake'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 Kathryn Kelly Rethlake was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.