Blake, David

Blake, David is an individual health care provider with primary practice located at 1106 N 155Th St Ste B , Basehor KS 66007-7100. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Blake, David can be contacted via phone (816) 718-8389.

Contact Information

Primary practice address
1106 N 155Th St Ste B Basehor KS 66007-7100
Phone: (816) 718-8389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912695693
LBN Legal business name Blake, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2023
Last updated May 1st, 2023 - about 2 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.

Request for update

Popular Providers