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Organization

OTP SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL DIANE FORTE PH.D. (PRESIDENT)
(260) 385-3540
Entity
Organization

Contact information

Practice address
10580 S VINEWOOD RD W 92, ROANOKE, IN 46783-9228
(260) 385-3540
Mailing address
10580 S VINEWOOD RD W 92, ROANOKE, IN 46783-9228
(260) 385-3540

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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