Provider Demographics
NPI:1073809596
Name:DENAULT, BLANCA DUNIA
Entity Type:Individual
Prefix:
First Name:BLANCA
Middle Name:DUNIA
Last Name:DENAULT
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 1:3900 PARQUE VERDE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-5385
Mailing Address - Country:US
Mailing Address - Phone:775-825-1610
Mailing Address - Fax:
Practice Address - Street 1:3900 PARQUE VERDE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-5385
Practice Address - Country:US
Practice Address - Phone:775-825-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst