Amanda Blake
Individual provider Active NPI Behavior Analyst · Watertown, MA
NPI 1003330366 · NPPES record last updated Jul 28, 2017
Key facts
- NPI
- 1003330366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 51 Water St
Watertown, MA 02472-4611 - Phone
- (617) 923-7575
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
51 Water St
Watertown, MA 02472-4611
Mailing address
51 Water St
Watertown, MA 02472-4611
Phone (617) 923-7575
Other providers in Watertown, MA
- Best Quality Home Care LLC
- Stephanie Bianchi
- Lydie Biedron
- Amy Lessels Bilodeau
- Ryan Birchall
- Jennifer L Blankenship
- Karen Blinder
- David Blitzman
- Joyce E Bloom
- Amanda T Bolbotowski
All providers in Watertown, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.