Sonja Jenice Blackshire

NPI #1790357333 in Forney, Texas

Provider Information

NPI Number: 1790357333
Entity Type: Individual
Name: Sonja Jenice Blackshire
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 709 W BROAD ST
City: Forney
State: Texas
ZIP Code: 75126-9148
Phone: (469) 458-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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