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

Blaze Carreno

Individual provider Assistant Behavior Analyst · NPI 1366336380

Blaze Carreno is an Assistant Behavior Analyst in Russell, Kansas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

971 E Wichita Ave
Russell, KS 67665-2444
Phone: (785) 377-4744
Show map & directions

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

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X

Record details

NPI number1366336380
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address1649 61st St, Brooklyn, NY 11204-2110

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