NPI 1003421702

Abby Gail Roughton, RBT

Practitioner Behavior Technician Columbus, GA

Practice location

Address: 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904-4559
Phone: (762) 239-0017
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-20-130764 (GA)

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Registry record

NPI: 1003421702
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2020
Record last updated: 10 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.