KANISHA BLAKE

MERRILLVILLE, IN
NPI1548907611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-22-214640)
Enumeration Date2022-05-19
Last Update Date2022-05-19
Business Address
KANISHA BLAKE RBT
251 W 84TH DR
MERRILLVILLE, IN 46410-6243
Phone number: 219-205-3463
Mailing Address
KANISHA BLAKE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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