Individual provider · Type 1 NPI

Heidi Blaylock, BCBA

Specialist · O Fallon, MO

NPI number 1851574537 Active

Practice location

321 Copper Tree Ct
O Fallon, MO 63368-6339

Call (636) 265-0407 Map

Fax (636) 265-0407

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851574537

Heidi Blaylock, BCBA's National Provider Identifier is 1851574537, issued on Dec 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in O Fallon, MO. The record was last updated on Dec 17, 2007.