Blake Tippitt
Blake Tippitt is a Behavior Technician in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
2535 Millikin PkwyDecatur, IL 62526-2156
Phone: (217) 685-2549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IL) |
|---|
Record details
| NPI number | 1003629056 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2025 |
| Last updated in NPPES | January 31, 2025 |
| Certification date | January 31, 2025 |
| Mailing address | 3921 Pintail Dr Ste B, Springfield, IL 62711-6738 |
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