Jessica Blackwell

NPI #1447759329 in South Yarmouth, Massachusetts

Provider Information

NPI Number: 1447759329
Entity Type: Individual
Name: Jessica Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2018
Last Updated: Feb 6, 2018

Practice Location

Address: 436 STATION AVE
City: South Yarmouth
State: Massachusetts
ZIP Code: 02664-1208
Phone: (508) 694-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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