Blackwell, Kizzy M

Blackwell, Kizzy M is an individual health care provider with primary practice located at 108 Patriot Dr Ste A , Middletown DE 19709-8803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Blackwell, Kizzy M can be contacted via phone (302) 803-2210.

Contact Information

Primary practice address
108 Patriot Dr Ste A Middletown DE 19709-8803
Phone: (302) 803-2210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-70415

Profile Details

NPI number 1457004590
LBN Legal business name Blackwell, Kizzy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2022
Last updated Feb 23rd, 2024 - about last year

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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