IndividualActive
Blaze Carreno
NPI 1366336380 · Assistant Behavior Analyst · Russell, KS
Provider details
- NPI number
- 1366336380
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
971 E Wichita Ave
Russell, KS 67665-2444
Phone: (785) 377-4744
Approximate (ZIP-level) locationGet directions
Mailing address
1649 61st St
Brooklyn, NY 11204-2110
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.