Bronwyn Blackwell

NPI #1447943360 in Maitland, Florida

Provider Information

NPI Number: 1447943360
Entity Type: Individual
Name: Bronwyn Blackwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 26, 2023
Last Updated: May 26, 2023

Practice Location

Address: 601 S LAKE DESTINY RD STE 350
City: Maitland
State: Florida
ZIP Code: 32751-7222
Phone: (407) 647-6555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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