HARLEY BLACKWELL

Behavior Technician

Active Individual
NPI: 1346045630

Practice Address

2277 N 36 SERVICE DR
STE 300
Roseville, MN 55113

Phone: (612) 258-2257

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1346045630 is the National Provider Identifier for HARLEY BLACKWELL, a Behavior Technician provider located in Roseville, MN. This NPI was enumerated on February 19, 2025.
HARLEY BLACKWELL practices at 2277 N 36 SERVICE DR, STE 300, Roseville, MN 55113.

Quick Facts

NPI
1346045630
Type
Individual
Enumerated
Feb 19, 2025
Last Updated
Feb 19, 2025

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