SearchMontana103K00000X

Jennifer De Raoulx, BCBA

NPI 1598322893 · on the registry since 2019

Practice

Address
1315 E Main St
Bozeman, MT 59715
Phone
(406) 587-2477
Clinicians at this address
12

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-22

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 Montana