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Individual

MR. RYAN CHARLES BLEJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
720 SAINT JAMES DR, WILMINGTON, NC 28403-2937
(919) 660-8200
(910) 660-8199
Mailing address
720 SAINT JAMES DR, WILMINGTON, NC 28403-2937
(910) 769-3571

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-29731
103T00000X
Psychologist
Primary
5437
NC

Other

Enumeration date
08/16/2018
Last updated
04/05/2019
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