Blackman, Trivonnia

Blackman, Trivonnia is an individual health care provider with primary practice located at 16925 Ability Way , Grand Haven MI 49417-9325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blackman, Trivonnia can be contacted via phone (616) 935-7606.

Contact Information

Primary practice address
16925 Ability Way Grand Haven MI 49417-9325
Phone: (616) 935-7606
Fax: (616) 935-7607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1962173633
LBN Legal business name Blackman, Trivonnia
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 4 years 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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