NPI 1003414194

Blake Davis

Practitioner Behavior Analyst Broken Arrow, OK

Practice location

Address: 2208 W Detroit St, Broken Arrow, OK 74012-3629
Phone: (918) 900-6237

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-22-63002 (OK)

Other Behavior Analyst providers in Oklahoma →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oklahoma →

Registry record

NPI: 1003414194
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2020
Record last updated: 7 Dec 2022

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.