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

Spencer Blazo

Individual provider Behavior Technician · NPI 1063059665

Spencer Blazo is a Behavior Technician in Farmington Hills, Michigan. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019

Practice location Address checks out

27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone: (248) 436-6561
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-16-24974 (IN)

Record details

NPI number1063059665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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