Kenneth Blake

NPI #1215222393 in Reno, Nevada

Provider Information

NPI Number: 1215222393
Entity Type: Individual
Name: Kenneth Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 16, 2011
Last Updated: Jun 16, 2011

Practice Location

Address: 2470 WRONDEL WAY
Address 2: SUITE 150B
City: Reno
State: Nevada
ZIP Code: 89502-3701
Phone: (775) 351-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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