MS. Latisha R Blake, CAC

NPI #1366734931 in Pompano, Florida

Provider Information

NPI Number: 1366734931
Entity Type: Individual
Name: MS. Latisha R Blake, CAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: CAC
Enumeration Date: May 13, 2011
Last Updated: May 13, 2011

Practice Location

Address: 2708 NE 14TH STREET SUITE 5
City: Pompano
State: Florida
ZIP Code: 33062
Phone: (954) 603-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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