Ta Janae Durianna Fierro Blake

NPI #1013879659 in Vallejo, California

Provider Information

NPI Number: 1013879659
Entity Type: Individual
Name: Ta Janae Durianna Fierro Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 2, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 1201 GLEN COVE PKWY APT 209
City: Vallejo
State: California
ZIP Code: 94591-7172
Phone: (510) 838-5677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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