Blake Steven Gatzke

NPI #1245881911 in Byron, Minnesota

Provider Information

NPI Number: 1245881911
Entity Type: Individual
Name: Blake Steven Gatzke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 511 6TH PL NE
City: Byron
State: Minnesota
ZIP Code: 55920-1522
Phone: (507) 251-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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