Blake Michael Baza
NPI #1164175477 in Campbell, California
Provider Information
- NPI Number
- 1164175477
- Entity Type
- Individual
- Name
- Blake Michael Baza
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 27, 2022
- Last Updated
- Jan 27, 2022
Practice Location
- Address
- 251 LLEWELLYN AVE
- City
- Campbell
- State
- California
- ZIP Code
- 95008-1940
- Phone
- (408) 379-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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