Individual
BLAKELYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PINE BLUFF RD STE 7A, SALISBURY, MD 21801-7114
(302) 466-5404
Mailing address
3779 FIVE FRIARS RD, SALISBURY, MD 21804-2529
(443) 736-6228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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