Deruyter, Jodie Lynn
Deruyter, Jodie Lynn is an individual health care provider with primary practice located at 1210 Fourier Dr Suite #100, Madison WI 53717-1969. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Deruyter, Jodie Lynn can be contacted via phone (608) 662-9327.Contact Information
Primary practice address
1210 Fourier Dr Suite #100
Madison WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 45-140 | Wisconsin |
Profile Details
| NPI number | 1104176387 |
|---|---|
| LBN Legal business name | Deruyter, Jodie Lynn |
| Credentials | MS, BA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Sep 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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