Individual
BLAKE WILLIAMS-RADNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 OHIO, MERRILLVILLE, IN 46410-6687
(219) 525-4572
Mailing address
8401 OHIO, MERRILLVILLE, IN 46410-6687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-24769
IN
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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