Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Blake

Individual provider Behavior Technician · NPI 1871303735

Breanna Blake is a Behavior Technician in Evansville, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2504 Waterbridge Way
Evansville, IN 47710-3200
Phone: (812) 646-2604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 730 W Delaware St, Evansville, IN 47710-1630 — (812) 646-2604

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-23-254015 (IN)

Record details

NPI number1871303735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address11807 Allisonville Rd # 522, Fishers, IN 46038-2313

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