Jordan Blake
Jordan Blake is a Behavior Technician in Elk Grove, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
9370 W Stockton Blvd Ste 100Elk Grove, CA 95758-8013
Phone: (209) 667-2273
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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 | 1396308086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2019 |
| Last updated in NPPES | April 17, 2019 |
| Mailing address | 1073 Dimaggio Way, Galt, CA 95632-3075 |
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