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Individual

MS. ERICA MARIE BLACKBOURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., LLP, BCBA

Contact information

Practice address
138 W HIGHLAND RD, SUITE 500-600, HOWELL, MI 48843-2168
(517) 376-4831
(517) 376-4833
Mailing address
1864 GENOA CIR, HOWELL, MI 48843-9218

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19086
103T00000X
Psychologist
6301012909
MI

Other

Enumeration date
05/15/2007
Last updated
09/22/2016
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