Tiana Blazek

NPI #1932811106 in Bloomington, Minnesota

Provider Information

NPI Number: 1932811106
Entity Type: Individual
Name: Tiana Blazek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2022
Last Updated: Dec 20, 2022

Practice Location

Address: 9333 PENN AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55431-2320
Phone: (952) 405-9937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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