Provider Demographics
NPI:1205031945
Name:RHODUS, JOANNE CHRISTINE (SLP, BCBA)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:CHRISTINE
Last Name:RHODUS
Suffix:
Gender:F
Credentials:SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4350
Mailing Address - Country:US
Mailing Address - Phone:970-903-7736
Mailing Address - Fax:
Practice Address - Street 1:100 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4350
Practice Address - Country:US
Practice Address - Phone:970-903-7736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2023-10-03
Deactivation Date:2023-09-20
Deactivation Code:
Reactivation Date:2023-10-03
Provider Licenses
StateLicense IDTaxonomies
NM3808235Z00000X
1-23-66434103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist