Individual
BLAKE YOUNDOM NUMBISEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
327 N 10TH ST APT 28, RICHMOND, IN 47374-3184
(765) 407-0481
Mailing address
327 N 10TH ST APT 28, RICHMOND, IN 47374-3184
(765) 407-0481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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