Individual
BRIANNA BLANCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
122 BUSINESS PARK DR, UTICA, NY 13502-6321
(315) 732-3431
(866) 822-2343
Mailing address
122 BUSINESS PARK DR, UTICA, NY 13502-6321
(315) 732-3431
(866) 822-2343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P09991
NY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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