Individual
MISS BLAKE MACKENZIE PUTMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 CENTURY PARK DR, YUBA CITY, CA 95991-5771
(530) 443-9150
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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