Healthcare Provider Details

I. General information

NPI: 1205031945
Provider Name (Legal Business Name): JOANNE CHRISTINE RHODUS SLP, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 10/03/2023
Certification Date: 09/08/2023
Deactivation Date: 09/20/2023
Reactivation Date: 10/03/2023

III. Provider practice location address

100 RIVERVIEW DR
DURANGO CO
81301-4350
US

IV. Provider business mailing address

100 RIVERVIEW DR
DURANGO CO
81301-4350
US

V. Phone/Fax

Practice location:
  • Phone: 970-903-7736
  • Fax:
Mailing address:
  • Phone: 970-903-7736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3808
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-66434
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: