(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003540022
Provider Name: JENNIFER D DOUGHTY RBT22-224677
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 07/14/2022
Last Updated: 07/14/2022
Provider Practice Location
108 S MERIDIAN ST
WINCHESTER
IN
473941809
Practice Location Phone/Fax
Phone: 7652090823
Fax:
Provider Mailing Location
108 S MERIDIAN ST
WINCHESTER
IN
473941809
Provider Mailing Phone/Fax
Phone: 7652090823
Fax: