Blake, Celena L

Blake, Celena L is an individual health care provider with primary practice located at 701 Glencrest Ln Ste A , Longview TX 75601-5145. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blake, Celena L can be contacted via phone (903) 686-9009.

Contact Information

Primary practice address
701 Glencrest Ln Ste A Longview TX 75601-5145
Phone: (903) 686-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-147523 Texas

Profile Details

NPI number 1780273979
LBN Legal business name Blake, Celena L
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - about 5 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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