Jordan L Blaz
Jordan L Blaz is a Behavior Technician in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone: (855) 201-5498
Fax: (888) 849-4249
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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 | 1912529587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2020 |
| Last updated in NPPES | May 17, 2020 |
| Certification date | May 17, 2020 |
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