Individual provider · Type 1 NPI

Shantaneast Rosalee Blake

Assistant Behavior Analyst · St. Petersburg, FL

NPI number 1447764642 Active

Practice location

763 53rd Ter N
St. Petersburg, FL 33703-2839

Fax (727) 564-2126

Specialties and licenses

Taxonomy	Code	License
Assistant Behavior Analyst Primary	106E00000X	None listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1447764642

Shantaneast Rosalee Blake's National Provider Identifier is 1447764642, issued on Nov 27, 2017. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 27, 2017.