IndividualActive
Latisha Blake, CAC
NPI 1366734931 · Behavior Analyst · Pompano, FL
Provider details
- NPI number
- 1366734931
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- CAC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2708 Ne 14th Street Suite 5
Pompano, FL 33062
Phone: (954) 603-7885
Fax: (954) 342-0273
Approximate (ZIP-level) locationGet directions
Mailing address
3901 Campbellton Road Sw Apt J3
Atlanta, GA 30331
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2011-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.