Whalio Doctors

NPI 1134786064

Derek Jagger Buddie-Damon

Practitioner Behavior Analyst Saint Ignatius, MT

Practice location

Address
54699 Hillside Rd, Saint Ignatius, MT 59865-8915
Phone
(406) 274-0845
Fax
(406) 204-3238
Mailing address
PO Box 210, Saint Ignatius, MT 59865-0210

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X

Registry record

NPI
1134786064
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 May 2019
Record last updated
27 May 2019

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.