Individual
ADDISON ROSE MCGAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 INDIGO RUN DR, INDIANAPOLIS, IN 46239-9821
(317) 628-0041
Mailing address
695 3RD AVE, JASPER, IN 47546-3602
(317) 628-0041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-378376
IN
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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