NPI 1013750686

Jada Moodie, RBT

Practitioner Behavior Technician Duluth, GA

Practice location

Address: 2405 Satellite Blvd STE 100, Duluth, GA 30096-9084
Phone: (470) 632-4990
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-24-350506 (GA)

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Registry record

NPI: 1013750686
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

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.