Individual
BLAKE R INOUYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
12637 S 265 W, DRAPER, UT 84020-5400
(801) 609-4086
Mailing address
3874 S EASTWOOD LN # B, MILLCREEK, UT 84109-3450
(702) 824-5038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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