Individual
MAIA LAUREN BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WHALEN RD, VERONA, WI 53593-1765
(888) 476-8485
Mailing address
6360 SUNSET DR, VERONA, WI 53593-9387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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