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Jessica A Theis, RBT

Behavior Technician in Clarksville, IN. Individual provider (NPI-1).

NPI number1982190518
StatusActive
Last updated in NPPESJul 6, 2018

Details

NPI
1982190518
Entity type
Individual (NPI-1)
Name
Jessica A Theis
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2018
Last updated
Jul 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

632 Eastern Blvd
Clarksville, IN 47129-2454

Phone 812-725-9025 · Fax 317-663-1175

Mailing address

12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400

Phone 317-249-2242 · Fax 317-663-1175

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