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Individual

BRIAN J BLAZEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS BCBA

Contact information

Practice address
8707 SKOKIE BLVD, SKOKIE, IL 60077-2269
(770) 880-8002
Mailing address
1706 W BELLE PLAINE AVE, CHICAGO, IL 60613-1815
(630) 709-7828

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/24/2021
Last updated
03/24/2021
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