Harley Joy Blackwell

NPI #1346045630 in Roseville, Minnesota

Provider Information

NPI Number: 1346045630
Entity Type: Individual
Name: Harley Joy Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 19, 2025
Last Updated: Feb 19, 2025

Practice Location

Address: 2277 N 36 SERVICE DR
Address 2: STE 300
City: Roseville
State: Minnesota
ZIP Code: 55113
Phone: (612) 258-2257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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