NPI 1003330366

Amanda Blake

Practitioner Behavior Analyst Watertown, MA

Practice location

Address: 51 Water St, Watertown, MA 02472-4611
Phone: (617) 923-7575

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003330366
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2017
Record last updated: 28 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.