Healthcare Provider Details

I. General information

NPI: 1144149915
Provider Name (Legal Business Name): HALEY CYNTHIA HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 FALLS DR
FORT WAYNE IN
46804-7147
US

IV. Provider business mailing address

4010 W HOUSING DR
FORT WAYNE IN
46815-4000
US

V. Phone/Fax

Practice location:
  • Phone: 260-370-8555
  • Fax:
Mailing address:
  • Phone: 517-366-0887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: