Individual
BLAKE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 E 53RD ST, ANDERSON, IN 46013-2828
(765) 387-7663
Mailing address
127 QUICK RD, NEW CARLISLE, OH 45344-9253
(937) 845-3628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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