Katherine Blackburn
Katherine Blackburn is a Behavior Technician in Fort Walton Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
419 Racetrack Rd NWFort Walton Beach, FL 32547-4612
Phone: (850) 362-6824
Fax: (850) 362-6826
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1689305088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2022 |
| Last updated in NPPES | June 17, 2022 |
| Certification date | June 17, 2022 |
| Mailing address | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 |
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