Provider Demographics
NPI:1417768326
Name:HOUGH, DEBRA L (RBT MA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:HOUGH
Suffix:
Gender:F
Credentials:RBT MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 W B ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5092
Mailing Address - Country:US
Mailing Address - Phone:308-520-6151
Mailing Address - Fax:
Practice Address - Street 1:1108 W B ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5092
Practice Address - Country:US
Practice Address - Phone:308-520-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NERBT-25-405124106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty