Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Blackmore

Individual provider Assistant Behavior Analyst · NPI 1790402071

Alyssa Blackmore is an Assistant Behavior Analyst in Toledo, Ohio. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

905 Nebraska Ave
Toledo, OH 43607-4222
Phone: (419) 841-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Assistant Behavior Analyst Taxonomy 106E00000X (AZ)

Record details

NPI number1790402071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address905 Nebraska Ave, Toledo, OH 43607-4222

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