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Individual

JACLYN BLACHLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. ED., BCBA

Contact information

Practice address
1081 SNOW HILL LN, GAMBRILLS, MD 21054-1529
(443) 326-3205
Mailing address
1081 SNOW HILL LN, GAMBRILLS, MD 21054-1529
(443) 326-3205

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MD

Other

Enumeration date
04/05/2016
Last updated
04/05/2016
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