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ORIGINS DEVELOPMENTAL
NPI 1952837346
Behavior Analyst in Fort Wayne, IN

Active since May 04, 2017
4118 N CLINTON ST, FORT WAYNE, IN 46805(260) 483-4988 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origins Developmental NPPES

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

ORIGINS DEVELOPMENTAL (NPI 1952837346) is a healthcare organization registered as a behavior analyst in Fort Wayne, Indiana and active in the NPI registry since May 2017. The organization lists Jason Shaw, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1952837346
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameORIGINS DEVELOPMENTAL LLC
Location Address4118 N CLINTON STFort Wayne, IN 46805-1210
Mailing Address1824 Touby Pike Ste BKokomo, IN 46901-2573 · (765) 628-7400
Phone(260) 483-4988
Organization SubpartNo
Authorized OfficialJason ShawChief Operating Officer · (260) 483-4988
Enumeration DateMay 4, 2017
✔ NPI 1952837346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
4118 N CLINTON ST, Fort Wayne, IN 46805
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Other Names 1

Other NameOrigins Developmental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

RACHAEL HOPE BCBA
Behavior Analyst
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (260) 373-1050
SECOND STEPS, LLC
Behavior Analyst
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (260) 493-3400
STORM SELKING
Behavior Technician
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (260) 267-0767
ALEXA GAITAN RBT
Behavior Technician
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (502) 795-0773
ERIN BRAZEL RBT
Behavior Technician
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (502) 795-0773
TIFFANY SHAW BCBA
Behavior Analyst
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (260) 373-1050
TIMOTHY MAJOR RBT
Behavior Technician
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (502) 795-0773
RAYMOND BRITT RBT
Behavior Technician
4118 N CLINTON ST
FORT WAYNE, IN 46805
Allen County (502) 795-0773

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 Origins Developmental LLC's NPI number?

The NPI number for Origins Developmental LLC is 1952837346. It was assigned to this organization in the NPPES registry on May 4, 2017. The provider is also known as Origins Developmental.

Where is Origins Developmental LLC located?

Origins Developmental LLC is located at 4118 N Clinton St, Fort Wayne, IN 46805. The listed phone number is (260) 483-4988.

What is Origins Developmental LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Origins Developmental LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.