Blaze ABA, LLC

Behavior Analyst · Leesburg, FL

Organization Active NPI

NPI number 1932935079

Practice location

30192 Armenia Rd
Leesburg, FL 34748-8454
Phone
(239) 465-8663

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NPI record

NPI
1932935079
Entity type
Organization (Type 2)
Enumeration date
September 13, 2024
Last updated
September 13, 2024
Certified
September 13, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Mr. Dawenn Dorgile, BCBA
Title
Owner/Bcba
Phone
(239) 465-8663

About Blaze ABA, LLC

Blaze ABA, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 30192 Armenia Rd, Leesburg, FL 34748-8454. The NPI number 1932935079 was assigned on September 13, 2024 and the record was last updated on September 13, 2024.

The authorized official for this organization is Mr. Dawenn Dorgile, BCBA, Owner/Bcba.

Frequently asked questions

What is the NPI number of Blaze ABA, LLC?

The NPI number is 1932935079.

What is the phone number of Blaze ABA, LLC?

The phone number listed for the practice location is (239) 465-8663.

Where is Blaze ABA, LLC located?

30192 Armenia Rd, Leesburg, FL 34748-8454.

What is the taxonomy code for Blaze ABA, LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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