Individual
TYERA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 ENTERPRISE PL STE 1, DOVER, DE 19904-8207
(302) 678-3353
(302) 678-9245
Mailing address
100 ENTERPRISE PL STE 1, DOVER, DE 19904-8202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-25-78811
DE
Other
Enumeration date
04/25/2023
Last updated
05/09/2025
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