IndividualActive
Blaise Ronnau
NPI 1073277083 · Behavior Technician · Russell, KS
Provider details
- NPI number
- 1073277083
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
971 E Wichita Ave
Russell, KS 67665-2444
Phone: (785) 657-7464
Approximate (ZIP-level) locationGet directions
Mailing address
2776 Outrider Ct
Cheyenne, WY 82009-7512
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.