Blake Tippitt

NPI #1003629056 in Decatur, Illinois

Provider Information

NPI Number
1003629056
Entity Type
Individual
Name
Blake Tippitt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 31, 2025
Last Updated
Jan 31, 2025

Practice Location

Address
2535 MILLIKIN PKWY
ZIP Code
62526-2156
Phone
(217) 685-2549

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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