Individual
BLAKE ANTHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 S PARK RIDGE RD STE 102, BLOOMINGTON, IN 47401-8589
(317) 334-7331
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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