Individual
MS. CHRISTINE GROVER BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
449 ROUTE 6A, UNIT 7, EAST SANDWICH, MA 02537
(508) 932-8526
Mailing address
PO BOX 725, EAST SANDWICH, MA 02537-0725
(508) 932-8526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
943
MA
Other
Enumeration date
12/07/2010
Last updated
09/07/2016
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