Judy C Dewitt
Individual provider Active NPI Behavior Analyst · Demotte, IN
NPI 1730901299 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1730901299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 833 S Halleck St
Demotte, IN 46310-8342 - Phone
- (219) 525-7286
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
833 S Halleck St
Demotte, IN 46310-8342
Mailing address
166 E Hoehn St
Wheatfield, IN 46392-9468
Phone (219) 863-3120
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.