Destiney Blackwell

NPI #1538969290 in Bedford, Texas

Provider Information

NPI Number: 1538969290
Entity Type: Individual
Name: Destiney Blackwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2025
Last Updated: Mar 13, 2025

Practice Location

Address: 706 SPRINGDALE RD
City: Bedford
State: Texas
ZIP Code: 76021-4356
Phone: (817) 475-7404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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