Hannah Calista Blackham

NPI #1902323801 in Orem, Utah

Provider Information

NPI Number: 1902323801
Entity Type: Individual
Name: Hannah Calista Blackham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 23, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1875 S GENEVA RD
City: Orem
State: Utah
ZIP Code: 84058-2217
Phone: (801) 437-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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