Davis, Blake

Davis, Blake is an individual health care provider with primary practice located at 2208 W Detroit St , Broken Arrow OK 74012-3629. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Davis, Blake can be contacted via phone (918) 900-6237.

Contact Information

Primary practice address
2208 W Detroit St Broken Arrow OK 74012-3629
Phone: (918) 900-6237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-63002 Oklahoma

Profile Details

NPI number 1003414194
LBN Legal business name Davis, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2020
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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