Raven Mack
Raven Mack is a Behavior Technician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
6635 E 21st St Ste 100Indianapolis, IN 46219-2252
Phone: (317) 608-2824
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-271469 (IN) |
|---|
Record details
| NPI number | 1699536888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 16, 2024 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
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