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

Ciressa Blackwell

Individual provider Behavior Technician · NPI 1629722111

Ciressa Blackwell is a Behavior Technician in Fort Myers, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12500 Brantley Commons Ct Ste 101
Fort Myers, FL 33907-5696
Phone: (239) 270-5921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629722111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address11200 Callaway Greens Dr, Fort Myers, FL 33913-8139

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