Jonah Blake Valid NPI

Individual provider · Behavior Technician · Pleasant Grove, UT

NPI

1104789270

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

License number

RBT-25-474965 (UT)

Sex

X

Sole proprietor

Yes

Enumerated

2025-12-05

Last updated

2025-12-05