Blackall, Heather

Blackall, Heather is an individual health care provider with primary practice located at 2228 Edelweiss Loop , Trinity FL 34655-4945. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Blackall, Heather can be contacted via phone (615) 507-5194.

Contact Information

Primary practice address
2228 Edelweiss Loop Trinity FL 34655-4945
Phone: (615) 507-5194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14396 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-67793 Florida

Profile Details

NPI number 1306595384
LBN Legal business name Blackall, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated Jun 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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