William Blackwood
Behavior Technician in Moore, OK. Individual provider (NPI-1).
NPI number1649958828
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1649958828
- Entity type
- Individual (NPI-1)
- Name
- William Blackwood
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2023
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-275736 | OK | Yes |
Practice location
146 Sw 134th StMoore, OK 73170-1488
Phone 405-265-9324
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
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