Individual
RACHEL MICHELLE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2222 POSHARD DR, COLUMBUS, IN 47203-1843
(812) 302-4750
Mailing address
114 S SHERIDAN AVE, INDIANAPOLIS, IN 46219-6610
(317) 610-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64995
IN
Other
Enumeration date
04/17/2023
Last updated
01/06/2025
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