Individual
BRIANNA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3445
(866) 610-0580
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16088
GA
Other
Enumeration date
02/22/2021
Last updated
05/12/2025
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