Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Roudebush

Individual provider Behavior Technician · NPI 1124908074

Jack Roudebush is a Behavior Technician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

7526 E 82nd St
Indianapolis, IN 46256-1410
Phone: (574) 387-4313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-468472 (IN)

Record details

NPI number1124908074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

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