Halo Nikolaevna Pancake

NPI #1215703483 in Mishawaka, Indiana

Provider Information

NPI Number: 1215703483
Entity Type: Individual
Name: Halo Nikolaevna Pancake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2023
Last Updated: Nov 6, 2025

Practice Location

Address: 1920 E MCKINLEY AVE
City: Mishawaka
State: Indiana
ZIP Code: 46545-7206
Phone: (888) 717-5835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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