Matthew James Blazek
Behavior Analyst
42 Bar Harbor Ter
Charles Town
, West Virginia 25414-1216
Matthew James Blazek
Behavior Analyst
42 Bar Harbor Ter
Charles Town
, West Virginia 25414-1216
(415) 990-3608
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Matthew James Blazek
- 42 Bar Harbor Ter
- Charles Town, WV
- Zip : 25414-1216
- Phone : (415) 990-3608
Second Address
- Matthew James Blazek
- 42 Bar Harbor Ter
- Charles Town, WV
- Zip : 25414-1216
- Phone : (415) 990-3608
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003280777 |
|---|---|
| Provider Name | Matthew James Blazek |
| First Address | Charles Town, WV 25414-1216 |
| Second Address | Charles Town, WV 25414-1216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2015 |
| Last Update Date | 17/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.