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Individual

JORDAN BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 876-1848
(405) 876-1848
Mailing address
1306 CHARLOTTE CT, NORMAN, OK 73071-2509

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-540312
OK

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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