Timothy Blackburn JR., LABA
NPI #1154850840 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1154850840
- Entity Type
- Individual
- Name
- Timothy Blackburn JR., LABA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- LABA
- Enumeration Date
- Jun 7, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 377 SHREWSBURY ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01604-1632
- Phone
- (321) 987-8348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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