Samantha R Blake, BCBA

NPI #1841830155 in Hemet, California

Provider Information

NPI Number: 1841830155
Entity Type: Individual
Name: Samantha R Blake, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 44235 GALICIA DR
City: Hemet
State: California
ZIP Code: 92544-9125
Phone: (909) 228-0298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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