Savanna Blacklidge

NPI #1023799947 in Largo, Florida

Provider Information

NPI Number: 1023799947
Entity Type: Individual
Name: Savanna Blacklidge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 25, 2023
Last Updated: Jul 25, 2023

Practice Location

Address: 12505 STARKEY RD STE K
City: Largo
State: Florida
ZIP Code: 33773-2617
Phone: (727) 280-6643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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