Individual provider · Type 1 NPI

Jodie Lynn Deruyter, MS, BA, BCBA

Behavior Analyst · Madison, WI

NPI number 1104176387 Active

Practice location

1210 Fourier Dr, Suite #100
Madison, WI 53717-1969

Call (608) 662-9327 Map

Fax (608) 662-9041

Mailing address

1210 Fourier Drive, Suite #100
Madison, WI 53717-1969

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X45-140 (WI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104176387

Jodie Lynn Deruyter, MS, BA, BCBA's National Provider Identifier is 1104176387, issued on Sep 14, 2012. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Madison, WI. The record was last updated on Sep 14, 2012.