Active NPIIndividual provider

Aedan O Blazina

Behavior Technician in Beaverton, Oregon

NPI Number1548801004
Practice location
6200 SW Arctic Dr, Beaverton, OR 97005-9447
Fax
—
Last updated
October 4, 2019

Aedan O Blazina is a Behavior Technician based in Beaverton, OR. The NPI number for Aedan O Blazina is 1548801004 and holds license No. ZI517177H (ID). The current practice location address is 6200 SW Arctic Dr, Beaverton, OR 97005-9447 and the office can be reached by phone at 503-224-2184. The NPI was assigned on October 4, 2019 and the record was last updated in NPPES on October 4, 2019.

●Provider Profile Details

NPI Number
1548801004
Provider Name
Aedan Orion Blazina
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Enumeration Date
October 4, 2019
Last Update Date
October 4, 2019
NPI Status
Active

◉Business Practice Location Address

Address
6200 SW Arctic Dr
Beaverton, OR 97005-9447
State
Oregon
ZIP
97005-9447
Country
US
Phone Number
503-224-2184

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✉Business Mailing Address

Address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
City
Woodland Hills
State
CA
ZIP
91367-7807

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Behavior Technician106S00000XYesZI517177HID

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Aedan O Blazina?

The NPI number of Aedan O Blazina is 1548801004. It was assigned on October 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Aedan O Blazina?

Aedan O Blazina is registered under the primary taxonomy Behavior Technician (code 106S00000X) and holds license No. ZI517177H (ID).

Where does Aedan O Blazina practice?

The practice location is 6200 SW Arctic Dr, Beaverton, OR 97005-9447. The office can be reached at 503-224-2184 (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 1548801004 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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