Marissa Blackman
Marissa Blackman is a Community/Behavioral Health Agency in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
4905 N Union Blvd Ste 200Colorado Springs, CO 80918-4058
Phone: (970) 219-9089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X (CO) |
Record details
| NPI number | 1205334885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2018 |
| Last updated in NPPES | January 29, 2018 |
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