Individual
DANIELLE N DEGITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 RUCKER RD, INDIANAPOLIS, IN 46220-4874
(317) 785-7492
Mailing address
6350 RUCKER RD, INDIANAPOLIS, IN 46220-4874
(260) 459-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78151
IN
106S00000X
Behavior Technician
Primary
RBT-26-526268
IN
Other
Enumeration date
05/13/2019
Last updated
04/13/2026
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