Individual
BLAKE MARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
9850 WESTPOINT DR STE 650, INDIANAPOLIS, IN 46256-3380
(818) 241-6780
(818) 241-6853
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24443
IN
Other
Enumeration date
03/06/2017
Last updated
09/14/2020
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