MR. BLAKE BOULKA
NPI 1023668308
Behavior Technician in Brooklyn Park, MN
About Mr. Blake Boulka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BLAKE BOULKA (NPI 1023668308) is an individual behavior technician in Brooklyn Park, Minnesota and active in the NPI registry since September 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Boulka's NPI number?
The NPI number for Blake Boulka is 1023668308. It was assigned to this individual provider in the NPPES registry on September 18, 2019.
Where is Blake Boulka located?
Blake Boulka practices at 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445. The listed phone number is (763) 432-6875.
What is Blake Boulka's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Blake Boulka was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.