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

Penny Blackwood

Individual provider Other Technician · NPI 1679024533

Penny Blackwood is an Other Technician in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401000981 (MI)
Other Technician Taxonomy 247200000X

Record details

NPI number1679024533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

Other providers in Novi