Blaze Aba, LLC

NPI #1932935079 in Leesburg, Florida

Provider Information

NPI Number: 1932935079
Entity Type: Organization
Organization Name: Blaze Aba, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 13, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 30192 ARMENIA RD
City: Leesburg
State: Florida
ZIP Code: 34748-8454
Phone: (239) 465-8663

Authorized Official

Name: MR. DAWENN DORGILE, BCBA
Title: OWNER/BCBA
Phone: (239) 465-8663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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