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Individual

YAKISHA BLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7375 W US 52, NEW PALESTINE, IN 46163-8950
(888) 877-7222
Mailing address
7375 W US 52, NEW PALESTINE, IN 46163-8950

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
95001370A
IN
106S00000X
Behavior Technician

Other

Enumeration date
05/02/2023
Last updated
06/05/2026
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