Milburn, Blayne Keith

Milburn, Blayne Keith is an individual health care provider with primary practice located at 1420 N Sierra Bonita Ave Apt 404 , Los Angeles CA 90046-8537. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Milburn, Blayne Keith can be contacted via phone (541) 218-7576.

Contact Information

Primary practice address
1420 N Sierra Bonita Ave Apt 404 Los Angeles CA 90046-8537
Phone: (541) 218-7576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-38754 California

Profile Details

NPI number 1619243045
LBN Legal business name Milburn, Blayne Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Oct 16th, 2020 - about 4 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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