Individual
JENI ROADCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-374982
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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