Blaylock, Shaun Michael

Blaylock, Shaun Michael is an individual health care provider with primary practice located at 7108 S Kanner Hwy , Stuart FL 34997-7462. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Blaylock, Shaun Michael can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
7108 S Kanner Hwy Stuart FL 34997-7462
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-10169 California

Profile Details

NPI number 1255664199
LBN Legal business name Blaylock, Shaun Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Dec 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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