Shenley Blake Valid NPI
Individual provider · Behavior Analyst · Wesley Chapel, FL
- NPI
- 1962084772
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- RBT-21-161704 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
Practice location
5921 Riva Ridge Dr
Wesley Chapel, FL 33544-6517
(813) 591-1403