Blake Joshua Edmunds
NPI #1457201683 in San Leandro, California
Provider Information
- NPI Number
- 1457201683
- Entity Type
- Individual
- Name
- Blake Joshua Edmunds
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 28, 2026
- Last Updated
- Jan 28, 2026
Practice Location
- Address
- 15563 HARBOR WAY
- City
- San Leandro
- State
- California
- ZIP Code
- 94579-2775
- Phone
- (925) 548-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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