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: |