Blaise D Innocent

NPI #1982499000 in Everett, Massachusetts

Provider Information

NPI Number: 1982499000
Entity Type: Individual
Name: Blaise D Innocent
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2025
Last Updated: Apr 10, 2025

Practice Location

Address: 24 PORTER ST
City: Everett
State: Massachusetts
ZIP Code: 02149-3112
Phone: (781) 921-9360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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