Victoria Blake

NPI #1417492083 in Tracy, California

Provider Information

NPI Number: 1417492083
Entity Type: Individual
Name: Victoria Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 5, 2017
Last Updated: Oct 20, 2021

Practice Location

Address: 2850 N TRACY BLVD STE 202
City: Tracy
State: California
ZIP Code: 95376-7767
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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