Slater, Blake
Slater, Blake is an sole proprietor health care provider with primary practice located at 16 Cedar Rd , East Northport NY 11731-4033. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Slater, Blake can be contacted via phone (631) 987-9273.Contact Information
Primary practice address
16 Cedar Rd
East Northport NY 11731-4033
Phone: (631) 987-9273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 002216-01 | New York |
Profile Details
| NPI number | 1033831854 |
|---|---|
| LBN Legal business name | Slater, Blake |
| Credentials | MA, BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2022 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033831854 | NPPES |
| New York | Other | 002216-01 | LICENSED BEHAVIOR ANALYST |
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