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1093378804
TANNA K BLACKBURN
TERRE HAUTE, IN
NPI
1093378804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
TANNA K BLACKBURN MA, BCBA
4126 S 7TH ST
TERRE HAUTE, IN 47802-4123
Phone number: 812-645-2308
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Mailing Address
TANNA K BLACKBURN MA, BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 885-324-0885
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