Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaise D Innocent

Individual provider Behavior Technician · NPI 1982499000

Blaise D Innocent is a Behavior Technician in Everett, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

24 Porter St
Everett, MA 02149-3112
Phone: (781) 921-9360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence S25579754 (MA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1982499000
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address24 Porter St, Everett, MA 02149-3112

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