Sandra Blackwell

NPI #1003392267 in Killeen, Texas

Provider Information

NPI Number: 1003392267
Entity Type: Individual
Name: Sandra Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2018
Last Updated: Jul 11, 2018

Practice Location

Address: 1020 TRIMMIER RD
City: Killeen
State: Texas
ZIP Code: 76541-8029
Phone: (254) 554-1466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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