Individual
MEGAN ELIZABETH BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
9260 MARKETPLACE DR, MIAMISBURG, OH 45342-4478
(937) 388-5110
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-47493
OH
103K00000X
Behavior Analyst
Primary
COBA.00797
OH
Other
Enumeration date
02/05/2018
Last updated
03/03/2021
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