Individual
QUIANA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 E FLAMINGO RD STE A, LAS VEGAS, NV 89119-5120
(702) 600-4037
(702) 710-1105
Mailing address
1670 E FLAMINGO RD STE A, LAS VEGAS, NV 89119-5120
(702) 600-4037
(702) 710-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-496712
NV
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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