Frederick Blackmon II
Frederick Blackmon II is a Behavior Technician in Homewood, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
17627 Briar AveHomewood, IL 60430-1006
Phone: (708) 465-8060
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1558166405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 14, 2025 |
| Last updated in NPPES | February 14, 2025 |
| Certification date | February 14, 2025 |
| Mailing address | 17627 Briar Ave, Homewood, IL 60430-1006 |
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