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

Kallie Mae Blake

Individual provider Behavior Technician · NPI 1659113546

Kallie Mae Blake is a Behavior Technician in Bay City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

3710 Katalin Ct
Bay City, MI 48706-2160
Phone: (989) 324-2012
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1-07-3468 (MI)

Record details

NPI number1659113546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address3710 Katalin Ct, Bay City, MI 48706-2160

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