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Contact Information

HEATHER BLACKALL
2228 EDELWEISS LOOP
TRINITY, FL34655-4945
 Phone: 615-507-5194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
Indicates primary specialty

NPI Profile & details for HEATHER BLACKALL · (Female)

NPI # 1306595384
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2022
Last updated 06/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 0-23-14396
  • FL License # 1-23-67793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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