Mr. Blake Boulka
Mr. Blake Boulka is a Behavior Technician in Brooklyn Park, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6900 78th Ave N Ste 101Brooklyn Park, MN 55445-2719
Phone: (763) 432-6875
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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 | 1023668308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2019 |
| Last updated in NPPES | September 18, 2019 |
| Mailing address | 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445-2719 |
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