Individual provider · Type 1 NPI

Blaze Carreno

Assistant Behavior Analyst · Russell, KS

NPI number 1366336380 Active

Practice location

971 E Wichita Ave
Russell, KS 67665-2444

Call (785) 377-4744 Map

Mailing address

1649 61st St
Brooklyn, NY 11204-2110

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1366336380

Blaze Carreno's National Provider Identifier is 1366336380, issued on Jun 4, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Russell, KS. The record was last updated on Jun 4, 2025.