JONAH BLAKE

Behavior Technician

Active Individual
NPI: 1104789270

Practice Address

844 S 800 W STE 210
Pleasant Grove, UT 84062

Phone: (801) 923-3537

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-25-474965 (UT)

Frequently Asked Questions

NPI 1104789270 is the National Provider Identifier for JONAH BLAKE, a Behavior Technician provider located in Pleasant Grove, UT. This NPI was enumerated on December 5, 2025.
JONAH BLAKE practices at 844 S 800 W STE 210, Pleasant Grove, UT 84062.

Quick Facts

NPI
1104789270
Type
Individual
Enumerated
Dec 5, 2025
Last Updated
Dec 5, 2025

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