Jacqueline Nicole Mergenthaler

NPI #1861113417 in Dyer, Indiana

Provider Information

NPI Number: 1861113417
Entity Type: Individual
Name: Jacqueline Nicole Mergenthaler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2022
Last Updated: Aug 5, 2024

Practice Location

Address: 9598 CALUMET ST
City: Dyer
State: Indiana
ZIP Code: 46311-2782
Phone: (219) 427-8865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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