Individual
BLAINE KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 E MARGARET DR, TERRE HAUTE, IN 47803-9303
(812) 514-8433
(317) 334-7336
Mailing address
8646 GUION RD, INDIANAPOLIS, IN 46268-3011
(317) 334-7331
(317) 334-7336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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