Derrick Blackburn
Derrick Blackburn is a Case Manager/Care Coordinator in Fairbanks, Alaska. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
909 Cushman St Ste 103Fairbanks, AK 99701-4668
Phone: (907) 456-4620
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Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Chore Provider | Taxonomy 372500000X |
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1104663715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2024 |
| Last updated in NPPES | July 10, 2024 |
| Certification date | July 10, 2024 |
| Mailing address | 909 Cushman St Ste 103, Fairbanks, AK 99701-4668 |
Other providers in Fairbanks
-
Kaneeka Austin
3100 S Cushman St, Fairbanks, AK 99701-7516 · (907) 452-1648
-
Christine Babcock
122 1st Ave Ste 400, Fairbanks, AK 99701-4871 · (907) 459-3800
-
Xiana Catherine Bagwill
3100 S Cushman St, Fairbanks, AK 99701-7516 · (907) 452-6251
-
Jimmie Kaye Baldwin
1606 Roosevelt St, Fairbanks, AK 99709-5109 · (907) 590-2070
-
MS. Robin Jane Boggs
3875 Geist Rd Ste E312, Fairbanks, AK 99709-3549 · (907) 455-9737
-
Elizabeth Bottasso
3407 Airport Way, Fairbanks, AK 99709-4761 · (907) 456-4524
-
Brandon Scott Botts
1721 University Ave S, Fairbanks, AK 99709-4964 · (907) 371-3005
-
Maya Marina Bowers
710 3rd Ave, Fairbanks, AK 99701-4455 · (907) 452-4222