MS. Samantha Blackwell, BCBA

NPI #1083119788 in Elmhurst, Illinois

Provider Information

NPI Number: 1083119788
Entity Type: Individual
Name: MS. Samantha Blackwell, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Mar 26, 2018
Last Updated: May 4, 2018

Practice Location

Address: 650 W GRAND AVE STE 270
City: Elmhurst
State: Illinois
ZIP Code: 60126-1043
Phone: (244) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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