Individual
MERCADES LANE DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 OHIO ST, TERRE HAUTE, IN 47807-3940
(463) 268-8464
Mailing address
1341 OHIO ST, TERRE HAUTE, IN 47807-3940
(463) 268-8464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-25-466978
IN
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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