Provider Demographics
NPI:1962975029
Name:BLASONE, ARIANA KATHRYN
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:KATHRYN
Last Name:BLASONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 BASELINE RD APT 232
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2327
Mailing Address - Country:US
Mailing Address - Phone:914-391-6101
Mailing Address - Fax:
Practice Address - Street 1:707 STARKEY CT
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-7229
Practice Address - Country:US
Practice Address - Phone:914-391-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician