Individual
AYSHA JORNAE BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 E 86TH AVE STE F, MERRILLVILLE, IN 46410-6267
(219) 213-9610
Mailing address
99 E 86TH AVE STE F, MERRILLVILLE, IN 46410-6267
(219) 718-3206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
09/12/2025
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