Shane Blackman
Shane Blackman is a Behavior Technician in Woodbury, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
721 Commerce DrWoodbury, MN 55125-9118
Phone: (612) 767-7222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1750943528 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2019 |
| Last updated in NPPES | June 21, 2022 |
| Certification date | June 20, 2022 |
| Mailing address | 721 Commerce Dr, Woodbury, MN 55125-9118 |
Other providers in Woodbury
-
Laura Ann Berger
748 Bielenberg Dr Ste 140, Woodbury, MN 55125-1407 · (651) 796-2306
-
Elaine Grace Berghuis, RBT
2080 Wooddale Dr Ste 200, Woodbury, MN 55125-2920 · (612) 201-2468
-
Ashley Bielefeldt-Crowe
721 Commerce Dr, Woodbury, MN 55125-5512 · (651) 424-4000
-
Michael Eric Bingham
7805 Hudson Rd Ste 190, Woodbury, MN 55125-1546 · (952) 767-4200
-
Lucy Ann Blissenbach
721 Commerce Dr, Woodbury, MN 55125-9118 · (651) 424-4000
-
Ella Brynne Blomker
721 Commerce Dr, Woodbury, MN 55125-9118 · (651) 424-4000
-
Isabella Johanna Alicia Bocanegra
731 Bielenberg Dr Ste 102-104, Woodbury, MN 55125-1700 · (612) 445-8326
-
Erica Boleen
721 Commerce Dr, Woodbury, MN 55125-9118 · (612) 767-7222