Kennedy Claire Blackwell

NPI #1386378099 in Homer Glen, Illinois

Provider Information

NPI Number: 1386378099
Entity Type: Individual
Name: Kennedy Claire Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 14222 S BELL RD
City: Homer Glen
State: Illinois
ZIP Code: 60491-8122
Phone: (815) 390-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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