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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI BLAYLOCK, BCBA

Active

HEIDI BLAYLOCK, BCBA is a Specialist healthcare provider located in O FALLON, Missouri. NPI 1851574537 is currently active in the NPPES registry. Verify at CMS.

Specialist · O FALLON, MO

Registration Details

NPI Number
1851574537
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2007 (18.514579795032 yrs)
Last Updated
Dec 17, 2007

Practice Information

Address
321 COPPER TREE CT
O FALLON, MO, 633686339
Browse MO providers · Browse ZIP 63368
Phone
6362650407
Fax
6362650407
Primary Specialty
Specialist
174400000X

Other Specialist Providers in O FALLON, MO

Name Credential NPI
MR. MICHAEL PHILLIP BRUECKMANN LMT, NCTMB 1104939552
REBECCA A BETHEL P.T. 1871822536
JANICE MARIE SMITH MA, BCBA 1649576646
TARA WALLACE LMT, MMP 1790124378
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.