Individual
JENNIFER DEROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
374 MERIDIAN PARKE LN, GREENWOOD, IN 46142-9406
(317) 849-5437
Mailing address
10191 HODGE RD, CLAYTON, IN 46118-9167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26799
IN
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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