| NPI | 1265028856 |
|---|---|
| Other Name | DANIEL BLAKE ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1465) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-10-30 |