Joseph William Blake
NPI #1164174801 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1164174801
- Entity Type
- Individual
- Name
- Joseph William Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 7615 GOLDEN TRIANGLE DR
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-3733
- Phone
- (612) 767-7222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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