Individual
BRYN BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 LAUREL OAKS DR, YOUNGSVILLE, NC 27596-2099
(855) 832-6727
(772) 675-9100
Mailing address
237 S WINSTEAD AVE APT N1, ROCKY MOUNT, NC 27804-3436
(252) 916-0424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-502446
NC
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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