Jonah Blake
NPI #1104789270 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1104789270
- Entity Type
- Individual
- Name
- Jonah Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 5, 2025
- Last Updated
- Dec 5, 2025
Practice Location
- Address
- 844 S 800 W STE 210
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-4567
- Phone
- (801) 923-3537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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