Jacquelyn G Blush

NPI #1578219739 in Lowell, Arkansas

Provider Information

NPI Number: 1578219739
Entity Type: Individual
Name: Jacquelyn G Blush
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 26, 2022
Last Updated: Feb 26, 2022

Practice Location

Address: 212 S LINCOLN ST
City: Lowell
State: Arkansas
ZIP Code: 72745-9782
Phone: (479) 770-0744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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