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

Destin Lowell Rudy Blake

Individual provider Behavior Technician · NPI 1144004706

Destin Lowell Rudy Blake is a Behavior Technician in Concord, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1200 Concord Ave #100
Concord, CA 94520
Phone: (888) 839-6215
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1144004706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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