Jack Roudebush

NPI 1124908074 · on the registry since 2025

Practice

Address: 7526 E 82nd St
Indianapolis, IN 46256
Phone: (574) 387-4313
Organisation at this address: Jyoti R. Shah, Dds Inc
Family Counseling Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 121

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana