Individual
DAKIYAH LEANN GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 S 2ND AVE, BEECH GROVE, IN 46107-1904
(765) 696-9967
Mailing address
129 S 2ND AVE, BEECH GROVE, IN 46107-1904
(765) 696-9967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
9370990425
IN
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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