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Individual

DEVIN BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1601 S DE ANZA BLVD STE 110, CUPERTINO, CA 95014-5358
(669) 210-0301
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
CA
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/25/2021
Last updated
06/25/2025
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