BLAKE DAVIS

BROKEN ARROW, OK
NPI1003414194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: OK  1-22-63002)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-10-12
Last Update Date2022-12-07
Business Address
BLAKE DAVIS
2208 W DETROIT ST
BROKEN ARROW, OK 74012-3629
Phone number: 918-900-6237
Mailing Address
BLAKE DAVIS
2208 W DETROIT ST
BROKEN ARROW, OK 74012-3629
Phone number: 918-900-6237
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