Blake, Kanisha

Blake, Kanisha is an individual health care provider with primary practice located at 251 W 84Th Dr , Merrillville IN 46410-6243. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blake, Kanisha can be contacted via phone (219) 205-3463.

Contact Information

Primary practice address
251 W 84Th Dr Merrillville IN 46410-6243
Phone: (219) 205-3463
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-214640 Indiana

Profile Details

NPI number 1548907611
LBN Legal business name Blake, Kanisha
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2022
Last updated May 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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