NPI 1063666006

Nicole Joy Dewitt, MABCBA

Practitioner Behavior Analyst South Bend, IN

Practice location

Address: 2505 E Jefferson Blvd, South Bend, IN 46615-2635
Phone: (574) 289-4831
Mailing address: 118 1/2 S Front St, Dowagiac, MI 49047-1737

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Indiana →

Registry record

NPI: 1063666006
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2008
Record last updated: 30 Aug 2010

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.