Individual
JASON BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.S.S.
Contact information
Practice address
1901 WESTBANK EXPY, SUITE 550, HARVEY, LA 70058-4366
(504) 247-9120
(504) 247-9125
Mailing address
1901 WESTBANK EXPY, SUITE 550, HARVEY, LA 70058-4366
(504) 247-9120
(504) 247-9125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/08/2016
Last updated
11/08/2019
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