Individual
KATHRYN MARIE BLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 LAKE DR, OCEAN, NJ 07712-4247
(201) 403-6601
Mailing address
34 LAKE DR, OCEAN, NJ 07712-4247
(201) 403-6601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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