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Origins Developmental LLC

NPI 1952837346ActiveOrganization· Behavior Analyst· Fort Wayne, IN

Behavior Analyst in Fort Wayne, Indiana, registered in NPPES in May 2017. The authorized official on file is Jason Shaw, MA, BCBA, Chief Operating Officer.

Overview

NPI1952837346
StatusActive
Entity typeOrganization
NPI issuedMay 4, 2017
Last updated in NPPESMay 4, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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