Most Relevant Information
Provider Data
| NPI Number: | 1003549213 |
| Provider Name: | LUBOV BLAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2022 |
| Last Updated: | 07/05/2022 |
Provider Practice Location
5170 GOLDEN FOOTHILL PKWY # 143
EL DORADO HILLS
CA
957629608
Practice Location Phone/Fax
| Phone: | 9162801351 |
| Fax: |
Provider Mailing Location
5170 GOLDEN FOOTHILL PKWY # 143
EL DORADO HILLS
CA
957629608
Provider Mailing Phone/Fax
| Phone: | 9162801351 |
| Fax: |