Individual
DEASIA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 OHIO ST, TERRE HAUTE, IN 47807-3940
(812) 264-9252
Mailing address
200 S 6TH ST APT 116, TERRE HAUTE, IN 47807-4245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-467773
IN
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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