Mindy Blackburn

NPI #1417420076 in Silverdale, Washington

Provider Information

NPI Number: 1417420076
Entity Type: Individual
Name: Mindy Blackburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 7, 2019
Last Updated: Jan 7, 2019

Practice Location

Address: 2430 NW MYHRE RD # 101
City: Silverdale
State: Washington
ZIP Code: 98383-7669
Phone: (360) 328-5054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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