Jayden Victoria Blackwell

NPI #1235925447 in Jenks, Oklahoma

Provider Information

NPI Number: 1235925447
Entity Type: Individual
Name: Jayden Victoria Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 15, 2025
Last Updated: Apr 15, 2025

Practice Location

Address: 716 E MAIN PL
City: Jenks
State: Oklahoma
ZIP Code: 74037
Phone: (479) 318-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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