Individual
NYAH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8664 207TH ST, APT 2H, QUEENS VILLAGE, NY 11427
(929) 712-7011
Mailing address
8664 207TH ST, APT 2H, QUEENS VILLAGE, NY 11427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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