Individual provider · Type 1 NPI

Jonah Blake

Behavior Technician · Pleasant Grove, UT

NPI number 1104789270 Active

Practice location

844 S 800 W Ste 210
Pleasant Grove, UT 84062-4567

Call (801) 923-3537 Map

Mailing address

919 Callie Ct
North Salt Lake, UT 84054-0165

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-474965 (UT)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1104789270

Jonah Blake's National Provider Identifier is 1104789270, issued on Dec 5, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Dec 5, 2025.