Jasmine Blando
Individual provider Active NPI Behavior Technician · Merrillville, IN
NPI 1902398084 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1902398084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8200 Georgia St
Merrillville, IN 46410-6227 - Phone
- (219) 791-1400
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations in Learning, PC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8200 Georgia St
Merrillville, IN 46410-6227
Mailing address
8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400
Other providers in Merrillville, IN
- Bethany Kaylyn Blaga
- Kanisha Blake
- Jill Blanchard
- Provedencia Blanchard
- Adrienne Bland
- Emilia J Blaser
- Laura Blaylock
- Aysha Jornae Blocker
- Justin Bloodworth
- Boa & Associates
All providers in Merrillville, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.