Blayne Keith Milburn
Blayne Keith Milburn is a Behavior Analyst in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1353 N Fuller Ave Ph 2Los Angeles, CA 90046-4996
Phone: (541) 218-7576
Fax: (213) 277-4944
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-17-38754 (CA) |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X (CA) |
Record details
| NPI number | 1619243045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2012 |
| Last updated in NPPES | September 12, 2024 |
| Certification date | September 12, 2024 |
| Mailing address | 1353 N Fuller Ave Ph 2, Los Angeles, CA 90046-4996 |
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