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Individual

RACHEL TERESE BLACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 PEACHTREE ST NE # 200300, ATLANTA, GA 30361-3503
(678) 400-5040
Mailing address
2815 EXCHANGE BLVD STE 100, SOUTHLAKE, TX 76092-7515

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5667
TX

Other

Enumeration date
02/14/2019
Last updated
12/01/2023
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