BREANNA BLAKE

EVANSVILLE, IN
NPI1871303735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106S00000X Behavior Technician
(Licence: IN  RBT-23-254015)
Enumeration Date2025-01-13
Last Update Date2025-06-18
Business Address
BREANNA BLAKE
2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710-3200
Phone number: 812-646-2604
Mailing Address
BREANNA BLAKE
11807 ALLISONVILLE RD # 522
FISHERS, IN 46038-2313
Phone number: 317-572-5315