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Contact Information

ALYSSA BLACKMORE
905 NEBRASKA AVE
TOLEDO, OH43607-4222
 Phone: 419-841-7701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Assistant Behavior Analyst

106E00000X
Indicates primary specialty

NPI Profile & details for ALYSSA BLACKMORE · (Female)

NPI Number 1790402071
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2022
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
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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