Rebecca Blackard

NPI #1588399414 in Camden, New York

Provider Information

NPI Number: 1588399414
Entity Type: Individual
Name: Rebecca Blackard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 25, 2022
Last Updated: Jul 25, 2022

Practice Location

Address: 8408 WHISKEY ISLAND RD
City: Camden
State: New York
ZIP Code: 13316-3432
Phone: (936) 442-8227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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