Individual
DEVYNE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 MILLIKIN PKWY, DECATUR, IL 62526-2156
(217) 685-2549
Mailing address
2802 MONMOUTH CT # B, SPRINGFIELD, IL 62704-1086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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