Katie Elizabeth Blount
Behavior Technician in Enterprise, AL. Individual provider (NPI-1).
NPI number1972185262
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1972185262
- Entity type
- Individual (NPI-1)
- Name
- Katie Elizabeth Blount
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 20, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
204 N Main StEnterprise, AL 36330-2539
Phone 334-350-0711
Mailing address
213 S Oak Ridge DrEnterprise, AL 36330-6403
Phone 478-363-0195
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