Drake Xavier Ballard

NPI #1902780364 in Dyer, Indiana

Provider Information

NPI Number: 1902780364
Entity Type: Individual
Name: Drake Xavier Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2025
Last Updated: Jul 31, 2025

Practice Location

Address: 14813 WEST 101ST AVENUE
City: Dyer
State: Indiana
ZIP Code: 46311
Phone: (219) 245-7970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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