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Joseph William Blake
Behavior Technician in Eden Prairie, Minnesota
NPI 1164174801

Joseph William Blake is a Behavior Technician based in Victoria, MN. Joseph William Blake practices in Eden Prairie, MN. The NPI Number for Joseph William Blake is 1164174801 and holds a License No. (Minnesota).

The current practice location address for Joseph William Blake is 7615 Golden Triangle Dr, Eden Prairie, MN and can be reached out via phone at 612-767-7222. You can also correspond with Joseph William Blake through the mailing address at 1831 VICTORIA CIR, VICTORIA, MN - 55386-9688 (mailing address contact number: 952-356-6307).

Location: 7615 Golden Triangle Dr, Eden Prairie, MN, 55386-9688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164174801
Provider Name
Joseph William Blake
Credential
Provider Entity Type
Individual
Gender
Male
Address
7615 Golden Triangle Dr, Eden Prairie, MN, 55386-9688
Phone Number
612-767-7222
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
JZD123793269001 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7615 Golden Triangle Dr
City
Eden Prairie
State
Minnesota
Zip
55344-3733
Phone Number
612-767-7222
Fax Number
person
Provider Business Mailing Address Details
Address
7615 Golden Triangle Dr
City
Eden Prairie
State
Minnesota
Zip
55344-3733
Phone Number
612-767-7222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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