Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew R Dejesus

Individual provider Behavior Technician · NPI 1689205387

Matthew R Dejesus is a Behavior Technician in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6131 N Clinton St
Fort Wayne, IN 46825-4905
Phone: (260) 459-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4422 E State Blvd, Fort Wayne, IN 46815-6917 — (260) 471-9263

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-76981 (IN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-106957 (IN)

Record details

NPI number1689205387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Other providers in Fort Wayne