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Tamara Blackburn, RBT-16-24150

Behavior Technician in El Dorado Hills, CA. Individual provider (NPI-1).

NPI number1982184529
StatusActive
Last updated in NPPESAug 14, 2018

Details

NPI
1982184529
Entity type
Individual (NPI-1)
Name
Tamara Blackburn
Credential
RBT-16-24150
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2018
Last updated
Aug 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360

Phone 916-357-5837

Mailing address

1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360

Phone 916-357-5837

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