CLARA BLAKE, RBT

Behavior Technician

Active Individual
NPI: 1093682502

Practice Address

545 W 465 N
Providence, UT 84332

Phone: (801) 655-4950

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1093682502 is the National Provider Identifier for CLARA BLAKE, RBT, a Behavior Technician provider located in Providence, UT. This NPI was enumerated on October 20, 2025.
CLARA BLAKE, RBT practices at 545 W 465 N, Providence, UT 84332.

Quick Facts

NPI
1093682502
Type
Individual
Enumerated
Oct 20, 2025
Last Updated
Oct 20, 2025

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