Individual
ADELINE JANE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9844 RESEARCH DR STE 100, IRVINE, CA 92618-4381
(760) 815-5815
Mailing address
2700 PETERSON PL APT 17D, COSTA MESA, CA 92626-5330
(559) 731-8953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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