Madison Grace Dormer
Madison Grace Dormer is a Behavior Technician in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
1558 E Blvd Ste AKokomo, IN 46902-2587
Phone: (765) 252-0530
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-321869 (IN) |
|---|
Record details
| NPI number | 1225860414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2024 |
| Last updated in NPPES | August 15, 2024 |
| Certification date | August 15, 2024 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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Drew Dennis, RBT
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Brandy Deremiah, RBT
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Jeffrey Doran, RBT
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Whitney Dotson, RBT
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Rachel Douglass, RBT
1558 E Blvd Ste A, Kokomo, IN 46902-2587 · (765) 252-0530