Dora, Antigoni Jayne

Dora, Antigoni Jayne is an individual health care provider with primary practice located at 227 W Grimes Ln , Bloomington IN 47403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Dora, Antigoni Jayne can be contacted via phone (812) 322-0313.

Contact Information

Primary practice address
227 W Grimes Ln Bloomington IN 47403
Phone: (812) 322-0313
Fax: (812) 610-1814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-83678 Indiana
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-24-15279 Indiana

Profile Details

NPI number 1285231357
LBN Legal business name Dora, Antigoni Jayne
Credentials BA, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2020
Last updated Jul 11th, 2024 - about 4 months 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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