Amy Jo Blake

NPI #1003315615 in Fairfield, Virginia

Provider Information

NPI Number: 1003315615
Entity Type: Individual
Name: Amy Jo Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 1200 STERRETT RD
City: Fairfield
State: Virginia
ZIP Code: 24435-2629
Phone: (434) 485-2890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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