BERANAH AZELA BLAYLOCK

NPI: 1275134371 · Individual · Active

Primary Specialty

Behavior Technician

Practice Location

6401 SHELLMOUND ST APT 6327
EMERYVILLE, CA 94608-1057 Map ↗
Phone: 510-878-0678

All Specialties & Licenses

  • Behavior Technician Primary

NPI Registration

Enumerated: 2020-11-04

Last CMS Update: 2020-11-04