Maia Lauren Blas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

901 Whalen Rd
Verona, WI 53593-1765

Phone

(888) 476-8485

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1265125231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 SUNSET DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WHALEN RD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931765",
            "telephone_number": "888-476-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAS",
        "first_name": "MAIA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Bickford
• Jonna L Bier, P.T.A.
• Janet A Billerbeck, LCSW
• Rebecca Ruth Birckhead, RN
• Chadd David Black, LPTA
• Adrienne Lorayne Blow, LMFT
• Blue Skies Pediatric Dentistry
• Dana Sue Bohrer, MA, CCC-SLP
• Jill Boid
• Gary Bongey, RPH

• Behavior Technician in Verona, WI
• Providers in Verona, WI by specialty
• Behavior Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.