Samantha Blake
Samantha Blake is a Behavior Technician in Tampa, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4817 Ehrlich RdTampa, FL 33624-2037
Phone: (877) 823-4283
Fax: (352) 332-8589
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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 | 1063179687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 18, 2021 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
| Mailing address | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 |
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