| NPI | 1265028856 |
|---|---|
| Other Name | DANIEL BLAKE ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-21-50229) |
| 103K00000X Behavior Analyst | |
| 103TC1900X Psychologist, Counseling | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-08-27 |