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NPI Code Detail

MEDICARE: DELANEY ANKENBRUCK

MEDICARE: DELANEY ANKENBRUCK
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 : 1518813849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY ANKENBRUCK
Provider Business Mailing Address
First Line : 5750 FALLS DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7147
Country : US
Telephone Number : 260-204-5719
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 : 260-204-5719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ DELANEY ANKENBRUCK ” Practice Location

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