Deborah Ann Blake

NPI #1154804441 in Woodridge, Illinois

Provider Information

NPI Number: 1154804441
Entity Type: Individual
Name: Deborah Ann Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 12, 2018
Last Updated: Sep 12, 2018

Practice Location

Address: 1501 DOGWOOD DR
City: Woodridge
State: Illinois
ZIP Code: 60517-4649
Phone: (815) 382-3994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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