Blake Davis

NPI #1003414194 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1003414194
Entity Type: Individual
Name: Blake Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 12, 2020
Last Updated: Dec 7, 2022

Practice Location

Address: 2208 W DETROIT ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-3629
Phone: (918) 900-6237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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