IndividualActive
Aedan Blazina
NPI 1548801004 · Behavior Technician · Beaverton, OR
Provider details
- NPI number
- 1548801004
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- ZI517177H (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6200 Sw Arctic Dr
Beaverton, OR 97005-9447
Phone: (503) 224-2184
Approximate (ZIP-level) locationGet directions
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.