Luke Joseph Blascziek
Behavior Technician in Minnetonka, MN. Individual provider (NPI-1).
NPI number1962070490
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1962070490
- Entity type
- Individual (NPI-1)
- Name
- Luke Joseph Blascziek
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11900 Wayzata Blvd Ste 130Minnetonka, MN 55305-2018
Phone 612-413-8780
Mailing address
11900 Wayzata Blvd Ste 130Minnetonka, MN 55305-2018
Phone 612-413-8780
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All 393 Behavior Technician providers in Minnetonka · All 2,873 providers in Minnetonka
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