Tanna K Blackburn, MA, BCBA

NPI #1093378804 in Terre Haute, Indiana

Provider Information

NPI Number
1093378804
Entity Type
Individual
Name
Tanna K Blackburn, MA, BCBA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Credential
MA, BCBA
Enumeration Date
Apr 17, 2019
Last Updated
Apr 17, 2019

Practice Location

Address
4126 S 7TH ST
State
Indiana
ZIP Code
47802-4123
Phone
(812) 645-2308

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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