Blaylock, Maranda Darline

Blaylock, Maranda Darline is an individual health care provider with primary practice located at 88 Panther Dr , Sparta TN 38583-2601. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blaylock, Maranda Darline can be contacted via phone (931) 738-3505.

Contact Information

Primary practice address
88 Panther Dr Sparta TN 38583-2601
Phone: (931) 738-3505
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1245003870
LBN Legal business name Blaylock, Maranda Darline
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2023
Last updated Nov 6th, 2023 - about 2 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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