Individual provider · NPI-1
Dynisha Michaelle Blaise
Assistant Behavior Analyst · West Palm Beach, FL
NPI number1861314338
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1861314338
- Entity type
- Individual (NPI-1)
- Name
- Dynisha Michaelle Blaise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
931 Village Blvd Ste 905-358West Palm Beach, FL 33409-1803
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727
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