NPI 1063235612

Mitchell William Blauser

Practitioner Behavior Technician Hebron, KY

Practice location

Address: 3580 Hargrave CT, Hebron, KY 41048-6900
Phone: (855) 444-5664
Mailing address: 4767 Houston Rd APT 3313, Florence, KY 41042-4817

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1063235612
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2024
Record last updated: 4 Nov 2024

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.