Heidi Blaylock, BCBA Valid NPI
Individual provider · Specialist · O Fallon, MO
- NPI
- 1851574537
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-12-17
- Last updated
- 2007-12-17
Practice location
321 Copper Tree Ct
O Fallon, MO 63368-6339
(636) 265-0407