Blake, Shakia Lynn

Blake, Shakia Lynn is an individual health care provider with primary practice located at 1030 Abercorn Way , Douglasville GA 30134-6466. 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, Shakia Lynn can be contacted via phone (914) 426-7547.

Contact Information

Primary practice address
1030 Abercorn Way Douglasville GA 30134-6466
Phone: (914) 426-7547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-57909 Georgia

Profile Details

NPI number 1588201768
LBN Legal business name Blake, Shakia Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - 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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