Individual
COURTNEY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
272 SCHOOL AVE, WEST FORK, AR 72774-3124
(479) 839-3349
(479) 839-3752
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-236931
AR
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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