What is Blake Boulka's NPI number?

Blake Boulka's National Provider Identifier (NPI) is 1023668308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Blake Boulka's specialty?

Blake Boulka is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Blake Boulka located?

Blake Boulka's practice location on file with NPPES is 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445-2719.

What is Blake Boulka's phone number?

The practice phone number listed in the NPPES registry for Blake Boulka is (763) 432-6875.

Is Blake Boulka's NPI active?

Yes — Blake Boulka's NPI (1023668308) is active in the NPPES registry as of the last update on 2019-09-18.

IndividualActive

Blake Boulka

NPI 1023668308 · Behavior Technician · Brooklyn Park, MN

Blake Boulka is a Behavior Technician provider in Brooklyn Park, MN (NPI 1023668308).

Provider details

NPI number: 1023668308
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6900 78th Ave N Ste 101

Brooklyn Park, MN 55445-2719

Phone: (763) 432-6875

Street-level locationGet directions

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Mailing address