Matthew James Blazek, BCBA

Practice location

Address

42 Bar Harbor Ter, Charles Town, WV 25414-1216

Phone

(415) 990-3608

Registered specialties

Registry record

NPI

1003280777

Entity type

Individual

Sex (as registered)

Male

NPI issued

18 Nov 2015

Record last updated

17 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.