Individual provider · Type 1 NPI

Anna Blake

Behavior Analyst · Raleigh, NC

NPI number 1770242588 Active

Practice location

5121 Kingdom Way
Raleigh, NC 27607-6062

Call (800) 442-2762 Map

Mailing address

175 S Harvest Ridge Way
Clayton, NC 27520-4864

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X3348 (NC)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1770242588

Anna Blake's National Provider Identifier is 1770242588, issued on Dec 9, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 17, 2025.