IndividualActive
Clara Blake, RBT
NPI 1093682502 · Behavior Technician · Providence, UT
Provider details
- NPI number
- 1093682502
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
545 W 465 N
Providence, UT 84332-8003
Phone: (801) 655-4950
Fax: (801) 655-4950
Approximate (ZIP-level) locationGet directions
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.