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

Blake Davis

Individual provider Behavior Technician · NPI 1003414194

Blake Davis is a Behavior Technician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2208 W Detroit St
Broken Arrow, OK 74012-3629
Phone: (918) 900-6237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-63002 (OK)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1003414194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address2208 W Detroit St, Broken Arrow, OK 74012-3629

Other providers in Broken Arrow