Beranah Azela Blaylock
Beranah Azela Blaylock is a Behavior Technician in Emeryville, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6401 Shellmound St Apt 6327Emeryville, CA 94608-1057
Phone: (510) 878-0678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1275134371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 4, 2020 |
| Last updated in NPPES | November 4, 2020 |
| Certification date | November 4, 2020 |
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