Individual
CRA' NISHA LYNN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3300 MAIN ST, ANDERSON, IN 46013-4233
(765) 400-4258
Mailing address
525 DR MARTIN LUTHER KING JR BLVD, ANDERSON, IN 46016-4162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-192761
IN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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