Individual
TIMOTHY BLACKBURN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LABA
Contact information
Practice address
377 SHREWSBURY ST, WORCESTER, MA 01604-1632
(321) 987-8348
Mailing address
377 SHREWSBURY ST, WORCESTER, MA 01604-1632
(321) 987-8348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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