Individual
JOSEPHINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
699 DECATUR ST, AURORA, IN 47001-1241
(812) 926-4673
Mailing address
699 DECATUR ST, AURORA, IN 47001-1241
(812) 926-4673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82998
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/10/2022
Last updated
08/11/2025
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