Terence G Blackwell Jr.
Individual provider Active NPI Behavior Analyst · South River, NJ
NPI 1386973014 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1386973014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-03-1234 (NJ)
- Practice address
- 277 Main St
1St Floor
South River, NJ 08882-2042 - Phone
- (732) 254-0300
- Fax
- (732) 254-3131
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cerg Management Inc. | Past | Accepting new patients | |
| Cerg Management | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-03-1234 | NJ | Yes |
Addresses
Primary practice location
277 Main St
1St Floor
South River, NJ 08882-2042
Mailing address
28 Addington CT
East Brunswick, NJ 08816-5302
Phone (732) 672-3471
Other names
- Mr. Terence G Blackwell Jr.
Other providers in South River, NJ
- Shruti Balwalli-Udyawer
- Ann Basta
- Ashraf M Basta
- Paula Lynn Beisser
- Beyond Your Miorror LLC
- Bright Futures Counseling LLC
- Veronica Cadette
- Silvia A. Carvalheiro
- Suely Aparecida Cassiano
- Cerg Management
All providers in South River, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.