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

Brandon Blake

Individual provider Behavior Technician · NPI 1194449983

Brandon Blake is a Behavior Technician in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9920 Pacific Heights Blvd, San Diego, CA 92121-4396 — (303) 989-8169

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1194449983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESFebruary 24, 2024
Certification dateFebruary 24, 2024

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