Individual
MS. ASHLEY RENAE BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(052) 957-0294
Mailing address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(205) 490-8228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
10/17/2022
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