Organization
MBH ABA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BLAZER BCBA (BCBA/OWNER)
(616) 585-6760
Entity
Organization
Contact information
Practice address
1342 KIMBER DR, LOWELL, MI 49331-7801
(616) 585-6760
Mailing address
1342 KIMBER DR, LOWELL, MI 49331-7801
(616) 585-6760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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