Abby Gail Roughton
Behavior Technician
200 Brookstone Centre Pkwy Bldg 200
Columbus
, Georgia 31904-4559
Abby Gail Roughton
Behavior Technician
200 Brookstone Centre Pkwy Bldg 200
Columbus
, Georgia 31904-4559
(317) 520-8200
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Abby Gail Roughton
- 3500 Depauw Blvd Ste 3070
- Indianapolis, IN
- Zip : 46268-6135
- Fax : (317) 520-8200
- Phone : (855) 324-0885
Second Address
- Abby Gail Roughton
- 200 Brookstone Centre Pkwy Bldg 200
- Columbus, GA
- Zip : 31904-4559
- Fax : (317) 520-8200
- Phone : (762) 239-0017
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-130764 | GA |
National Provider Identifier
| NPI | 1003421702 |
|---|---|
| Provider Name | Abby Gail Roughton |
| First Address | Indianapolis, IN 46268-6135 |
| Second Address | Columbus, GA 31904-4559 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.