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Va'Shana Divine, RBT

Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).

NPI number1699366559
StatusActive
Last updated in NPPESFeb 2, 2021

Details

NPI
1699366559
Entity type
Individual (NPI-1)
Name
Va'Shana Divine
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 2, 2021
Certification date
Feb 2, 2021
Last updated
Feb 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-144241INYes

Practice location

6925 Parkdale Pl
Indianapolis, IN 46254-4673

Phone 317-597-4553 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

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