Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164174801 Individual Practitioner Male Practitioner

Joseph William Blake

Behavior Technician • Eden Prairie, MN

Professional Overview & Biography Verified Profile Summary

Joseph Blake is a registered healthcare professional specializing in Behavior Technician in Eden Prairie, MN. Practice services are available at 7615 GOLDEN TRIANGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7615 Golden Triangle Dr

Eden Prairie, MN 553443733

Telephone 6127677222

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Eden Prairie, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.8 Yrs
Regional Practice Density
303 Specialists

Practicing in Eden Prairie, MN (16172 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-24
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
JZD123793269001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anna Schulz , MS, BCBA

Behavior Analyst

NPI 1003452632

Master of Science, Board Certified Behavior Analyst

Sarah Lynch , MS, BCBA

Behavior Analyst

NPI 1003459835

Master of Science, Board Certified Behavior Analyst

Mystic Makepeace

Behavior Technician

NPI 1003486564
Khaleda Islam

Behavior Technician

NPI 1003549676
Melissa Becerra

Behavior Technician

NPI 1003592650
Nimco Salah

Behavior Technician

NPI 1003742594

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2022

Registered at 7615 GOLDEN TRIANGLE DR, EDEN PRAIRIE, MN 553443733 (Tel: 6127677222)

📍
Updated Business Mailing Address January 24, 2022

Registered at 1831 VICTORIA CIR, VICTORIA, MN 553869688 (Tel: 9523566307)

👤
Provider Name / Credentials Updated January 24, 2022

Recorded as JOSEPH BLAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164174801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2022
Last Update: January 24, 2022
Sole Proprietor: Yes

Mailing Address

1831 Victoria Cir

Victoria, MN 553869688

Phone: 9523566307

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.