Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LATISHA R BLAKE, CAC
Active Sole ProprietorMS. LATISHA R BLAKE, CAC is a Behavior Analyst healthcare provider located in POMPANO, Florida. NPI 1366734931 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · POMPANO, FL
Registration Details
- NPI Number
- 1366734931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2011 (15.245514707702 yrs)
- Last Updated
- May 13, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
2708 NE 14TH STREET SUITE 5POMPANO, FL, 33062Browse FL providers · Browse ZIP 33062
- Phone
- 9546037885
- Fax
- 9543420273
- Primary Specialty
-
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.