Individual
ALYSSA BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 NEBRASKA AVE, TOLEDO, OH 43607-4222
(419) 841-7701
Mailing address
905 NEBRASKA AVE, TOLEDO, OH 43607-4222
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
AZ
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
11/05/2024
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