Blake, Desiree

Blake, Desiree is an sole proprietor health care provider with primary practice located at 23 E Ross Ave , Sapulpa OK 74066-6423. 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, Desiree can be contacted via phone (918) 216-4999.

Contact Information

Primary practice address
23 E Ross Ave Sapulpa OK 74066-6423
Phone: (918) 216-4999
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1912431214
LBN Legal business name Blake, Desiree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2017
Last updated Apr 13th, 2017 - about 8 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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