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Amanda Michelle Blazkiewicz
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1366964447

Amanda Michelle Blazkiewicz is a Student in an Organized Health Care Education/Training Program based in Piscataway, PA. Amanda Michelle Blazkiewicz practices in Philadelphia, PA. The NPI Number for Amanda Michelle Blazkiewicz is 1366964447 and holds a License No. (Pennsylvania).

The current practice location address for Amanda Michelle Blazkiewicz is 1200 W Tabor Rd, Philadelphia, PA and can be reached out via phone at 215-456-9850. You can also correspond with Amanda Michelle Blazkiewicz through the mailing address at 154 TABB AVE, PISCATAWAY, NJ - 08854-2570 (mailing address contact number: ).

Location: 1200 W Tabor Rd, Philadelphia, PA, 08854-2570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366964447
Provider Name
Amanda Michelle Blazkiewicz
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 W Tabor Rd, Philadelphia, PA, 08854-2570
Phone Number
215-456-9850
Fax Number
Provider Enumeration Date
07/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 W Tabor Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3019
Phone Number
215-456-9850
Fax Number
person
Provider Business Mailing Address Details
Address
154 Tabb Ave
City
Piscataway
State
New Jersey
Zip
08854-2570
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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