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Individual

HEATHER STOWE BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 644-6391
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 644-6391

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73390
NC
106E00000X
Assistant Behavior Analyst
0-23-14756
NC
106S00000X
Behavior Technician
RBT-18-62981
AL

Other

Enumeration date
07/26/2021
Last updated
06/26/2024
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