Individual
LISA FLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
72 CRANSTON CT, CENTERVILLE, OH 45458-2333
(937) 776-6272
Mailing address
72 CRANSTON CT, CENTERVILLE, OH 45458-2333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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