William Blackwood

NPI #1649958828 in Moore, Oklahoma

Provider Information

NPI Number: 1649958828
Entity Type: Individual
Name: William Blackwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 146 SW 134TH ST
City: Moore
State: Oklahoma
ZIP Code: 73170-1488
Phone: (405) 265-9324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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