Blake Selby
Blake Selby is a Behavior Technician in Eustis, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2785 S Bay St Ste AEustis, FL 32726-6591
Phone: (844) 668-6222
Fax: (888) 975-0599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1447923354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 27, 2021 |
| Mailing address | Po Box 963, Mount Dora, FL 32756-0963 |
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