Individual
DESIRAE BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
13709 TWIN LAKES DR E, GRAHAM, WA 98338-7574
(253) 318-4648
(360) 879-5108
Mailing address
32200 5TH AVE, BLACK DIAMOND, WA 98010-9602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA.BA.70005810
WA
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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