Individual
IMANI TRE'NAI GORE-BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
215 S HURSTBOURNE PKWY STE 213, LOUISVILLE, KY 40222-4937
(502) 353-2074
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301861
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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