BLAKE BOULKA

BROOKLYN PARK, MN
NPI1023668308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-09-18
Last Update Date2019-09-18
Business Address
Mr. BLAKE BOULKA
6900 78TH AVE N STE 101
BROOKLYN PARK, MN 55445-2719
Phone number: 763-432-6875
Mailing Address
Mr. BLAKE BOULKA
6900 78TH AVE N STE 101
BROOKLYN PARK, MN 55445-2719
Phone number: