Individual
RACHELLE LENA BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 CARANDO DR, SPRINGFIELD, MA 01104-4205
(413) 865-6919
Mailing address
400 SHADY OAKS DR APT 308, PALM COAST, FL 32164-2537
(413) 218-3193
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69168
FL
Other
Enumeration date
07/19/2019
Last updated
11/09/2023
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