Quiana Blackson

Individual provider Active NPI Behavior Technician · Deerfield BCH, FL

NPI 1225847148 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1225847148
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X TX Yes

Addresses

Primary practice location

350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834

Mailing address

350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Phone (877) 418-2978

Other providers in Deerfield BCH, FL

All providers in Deerfield BCH, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.