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NPI Code Detail

MEDICARE: NABAZUNGU GISELE LOYA

MEDICARE: NABAZUNGU GISELE LOYA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1447114467
Entity Type Code : Individual
Provider Name (Legal Business Name) : NABAZUNGU GISELE LOYA
Provider Business Mailing Address
First Line : 6614 MONARCH DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-7859
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5750 FALLS DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7147
Country : US
Telephone Number : 260-702-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2025
Last Update Date : 12/13/2025

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Directions to “ NABAZUNGU GISELE LOYA ” Practice Location

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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.

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