Mary Rousseau
Behavior Technician in Jacksonville, NC. Individual provider (NPI-1).
NPI number1629985809
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1629985809
- Entity type
- Individual (NPI-1)
- Name
- Mary Rousseau
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2026
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
806 Bell Fork RdJacksonville, NC 28540-6312
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
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