Emilee Pugh

Individual provider Active NPI Behavior Technician · Daleville, IN

NPI 1831996958 · NPPES record last updated Feb 26, 2025

Key facts

NPI
1831996958
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-363062 (IN)
Practice address
9301 S Innovation Dr Ste 103
Daleville, IN 47334-9517
Phone
(574) 387-4313
NPI assigned
Feb 26, 2025
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

State licenses

LicenseStateTypeSpecialty
RBT-24-363062INMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-363062 IN Yes

Addresses

Primary practice location

9301 S Innovation Dr Ste 103
Daleville, IN 47334-9517

Mailing address

215 Red Coach Dr
Mishawaka, IN 46545-8307
Phone (574) 387-4313

Other providers in Daleville, IN

All providers in Daleville, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.