Amanda Blake
Behavior Analyst in Watertown, MA. Individual provider (NPI-1).
NPI number1003330366
StatusActive
Last updated in NPPESJul 28, 2017
Details
- NPI
- 1003330366
- Entity type
- Individual (NPI-1)
- Name
- Amanda Blake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2017
- Last updated
- Jul 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
51 Water StWatertown, MA 02472-4611
Phone 617-923-7575
Mailing address
51 Water StWatertown, MA 02472-4611
Phone 617-923-7575
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