Individual
LOLA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 LINWOOD ST, BROOKLYN, NY 11208-3568
(917) 509-7371
Mailing address
706 LINWOOD ST, BROOKLYN, NY 11208-3568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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