MEDICARE: JADA AYANNA RIDLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1356292148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADA AYANNA RIDLEY

Provider Business Mailing Address
First Line	:	201 E RUDISILL BLVD # B100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-1738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E RUDISILL BLVD # B100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-1738
Country	:	US
Telephone Number	:	260-255-3665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

Similar Medicare Providers

1336651736 — GREAT HEIGHTS ABA INC.
Practice Location Address:

201 E RUDISILL BLVD STE B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax:

1114495835 — AMY SHEEFEL BCBA
Practice Location Address:

201 E RUDISILL BLVD STE B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax: 260-255-3594

1023668183 — BOWEN HEALTH INC
Practice Location Address:

201 E RUDISILL BLVD
FORT WAYNE, IN
46806-1738

Practice Phone: 800-342-5653
Practice Fax:

1255923405 — ANGELA MCCOMAS BCBA
Practice Location Address:

201 E RUDISILL BLVD STE B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax: 260-255-3594

1932770203 — MELANIE KOTO
Practice Location Address:

201 E RUDISILL BLVD STE B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax:

1982275103 — COURTNEY TROYER RBT
Practice Location Address:

201 E RUDISILL BLVD # B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax:

Directions to “ JADA AYANNA RIDLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.