Alise Nicole Blackmon
NPI #1780575530 in Pittsburg, California
Provider Information
- NPI Number
- 1780575530
- Entity Type
- Individual
- Name
- Alise Nicole Blackmon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jul 10, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 60 GOLD CREST CT
- City
- Pittsburg
- State
- California
- ZIP Code
- 94565-6500
- Phone
- (925) 267-2059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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