Individual
AMBER NICHOLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 FERNRIDGE DR, SPARTANBURG, SC 29307-3544
(864) 285-6063
Mailing address
117 FERNRIDGE DR, SPARTANBURG, SC 29307-3544
(864) 285-6063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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