Individual provider · NPI-1

Shantai Blake

Assistant Behavior Analyst · West Palm Beach, FL

NPI number1043135635
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1043135635
Entity type
Individual (NPI-1)
Name
Shantai Blake
Sole proprietor
No
Enumeration date
Aug 12, 2026
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst––Yes

Practice location

931 Village Blvd Ste 905-358
West Palm Beach, FL 33409-1803

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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