Individual
AMY NICOLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W JACKSON ST STE B, SHELBYVILLE, IN 46176-4200
(317) 512-2101
Mailing address
932 W 575 S, PENDLETON, IN 46064-9160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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