Individual
BLAKE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 LAKEVIEW DR, AMARILLO, TX 79109-1527
(806) 418-2546
Mailing address
2505 LAKEVIEW DR, AMARILLO, TX 79109-1527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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