JEFFREY BLAKE
NPI 1639616295
Behavior Technician in St George, UT

Active since January 20, 2017
474 W 200 N, ST GEORGE, UT 84770(435) 634-5600 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2017, Jan 20, 2017 (2 updates tracked since 2017).

About Jeffrey Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY BLAKE (NPI 1639616295) is an individual behavior technician in St George, Utah and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1639616295
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJEFFREY BLAKE
Location Address474 W 200 NSt George, UT 84770-4505
Mailing Address474 W 200 NSt George, UT 84770-4505
Sole ProprietorNo
Enumeration DateJanuary 20, 2017
Last NPPES UpdateJune 14, 20172 updates tracked since enumeration
NPI 1639616295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
474 W 200 N, St George, UT 84770

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
474 W 200 N
SAINT GEORGE, UT 84770
Technician, Other
474 W 200 N
ST GEORGE, UT 84770
Substance Abuse Rehabilitation Facility
474 W 200 N
ST GEORGE, UT 84770
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Case Manager/Care Coordinator
474 W 200 N
ST GEORGE, UT 84770
Technician, Other
474 W 200 N, SUITE 100
ST. GEORGE, UT 84770
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Technician, Other
474 W 200 N, STE#300
ST GEORGE, UT 84770

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 Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1639616295. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 474 W 200 N, St George, UT 84770. The listed phone number is (435) 634-5600.

What is Jeffrey Blake'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 Jeffrey Blake was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.