Blaise Ignacious Ronnau

NPI #1073277083 in Russell, Kansas

Provider Information

NPI Number: 1073277083
Entity Type: Individual
Name: Blaise Ignacious Ronnau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2021
Last Updated: Oct 26, 2021

Practice Location

Address: 971 E WICHITA AVE
City: Russell
State: Kansas
ZIP Code: 67665-2444
Phone: (785) 657-7464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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