Matthew James Blazek, BCBA
NPI #1003280777 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1003280777
- Entity Type
- Individual
- Name
- Matthew James Blazek, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Nov 18, 2015
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 42 BAR HARBOR TER
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-1216
- Phone
- (415) 990-3608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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