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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESIREE BLAKE

Active Sole Proprietor

DESIREE BLAKE is a Behavior Technician healthcare provider located in SAPULPA, Oklahoma. NPI 1912431214 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SAPULPA, OK

Registration Details

NPI Number
1912431214
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2017 (9.3576660203829 yrs)
Last Updated
Apr 13, 2017
Sole Proprietor
Yes

Practice Information

Address
23 E ROSS AVE
SAPULPA, OK, 740666423
Browse OK providers · Browse ZIP 74066
Phone
9182164999
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SAPULPA, OK

Name Credential NPI
KRYSTELLE ALGEO 1497204549
JOSHUA ENGLEBRIGHT 1093267643
CASSANDRA KING 1720521214
KATRINA LOWE 1043754328
STACIA PUCKETT 1205374873
RHEA SMITH 1205361847
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.