Individual
COURTNEY L BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1347 N ALMA SCHOOL RD, CHANDLER, AZ 85224-5900
(888) 754-0398
Mailing address
901 S ALMA SCHOOL RD, CHANDLER, AZ 85224-0976
(480) 878-9633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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