Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERANAH AZELA BLAYLOCK
ActiveBERANAH AZELA BLAYLOCK is a Behavior Technician healthcare provider located in EMERYVILLE, California. NPI 1275134371 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · EMERYVILLE, CA
Registration Details
- NPI Number
- 1275134371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2020 (5.7589103941434 yrs)
- Last Updated
- Nov 4, 2020
Practice Information
- Address
-
6401 SHELLMOUND ST APT 6327EMERYVILLE, CA, 946081057Browse CA providers · Browse ZIP 94608
- Phone
- 5108780678
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in EMERYVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN ALTMAN | — | 1417458332 |
| MS. CELESTE LYNNE FUTCH | RBT | 1922509793 |
| JASON ELCOCK | — | 1316449804 |
| VY NGUYEN | — | 1053813550 |
| SOPEAPH STEVEN PHIN | — | 1588166086 |
| WILMER REYES | — | 1720580236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.