Blaze Eleazer
Behavior Technician in Noriwchtown, Connecticut
1477494946- Practice location
- 164 Obtrobando Ave, Suite B, Noriwchtown, CT 06360
- Phone
- 888-754-0398
- Fax
- —
- Last updated
- April 1, 2026
Blaze Eleazer is a Behavior Technician based in Noriwchtown, CT. Blaze Eleazer practices in Noriwchtown, CT. The NPI Number for Blaze Eleazer is 1477494946. The current practice location address for Blaze Eleazer is 164 Obtrobando Ave, Suite B, Noriwchtown, CT 06360 and can be reached out via phone at 888-754-0398.
Provider Profile Details
- NPI Number
- 1477494946
- Provider Name
- Blaze Eleazer
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 164 Obtrobando Ave, Suite B, Noriwchtown, CT 06360
- Phone Number
- 888-754-0398
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2026
- Last Update Date
- April 1, 2026
- Certification Date
- March 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Obtrobando Ave
Suite B
Noriwchtown, CT 06360 - City
- Noriwchtown
- State
- Connecticut
- Zip
- 06360
- Phone Number
- 888-754-0398
Provider Business Mailing Address Details
- Address
- 24 Church St Apt 24C
Norwich, CT 06360-5058 - City
- Norwich
- State
- CT
- Zip
- 06360-5058
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Noriwchtown, CT
View all Behavior Technicians in Noriwchtown →Frequently Asked Questions
What is the NPI number of Blaze Eleazer?
The NPI number of Blaze Eleazer is 1477494946. It was assigned on April 1, 2026 and is currently active in the NPPES registry.
What is the specialty of Blaze Eleazer?
Blaze Eleazer is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Blaze Eleazer practice?
The practice location is 164 Obtrobando Ave, Suite B, Noriwchtown, CT 06360. The office can be reached at 888-754-0398 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477494946 directly on the NPPES registry website.