Latisha R. Blake, CAC
Behavior Analyst · Pompano, FL
NPI number
1366734931
Practice location
2708 NE 14TH Street Suite 5Pompano, FL 33062
- Phone
- (954) 603-7885
- Fax
- (954) 342-0273
NPI record
- NPI
- 1366734931
- Entity type
- Individual (Type 1)
- Enumeration date
- May 13, 2011
- Last updated
- May 13, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
Mailing address
3901 Campbellton Road SW Apt J3Atlanta, GA 30331
- Phone
- (912) 373-4417
About Latisha Blake
Latisha R. Blake, CAC is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2708 NE 14TH Street Suite 5, Pompano, FL 33062. The NPI number 1366734931 was assigned on May 13, 2011 and the record was last updated on May 13, 2011.
Frequently asked questions
What is the NPI number of Latisha R. Blake, CAC?
The NPI number is 1366734931.
What is the phone number of Latisha Blake?
The phone number listed for the practice location is (954) 603-7885.
Where is Latisha Blake located?
2708 NE 14TH Street Suite 5, Pompano, FL 33062.
What is the taxonomy code for Latisha Blake?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.