Most Relevant Information
Provider Data
| NPI Number: | 1003572611 |
| Provider Name: | REBEKAH LYNN BLACKWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | RBT-21-19165 |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
124 E MIRACLE STRIP PKWY STE 503
MARY ESTHER
FL
325691991
Practice Location Phone/Fax
| Phone: | 8447292242 |
| Fax: |
Provider Mailing Location
124 E MIRACLE STRIP PKWY STE 503
MARY ESTHER
FL
325691991
Provider Mailing Phone/Fax
| Phone: | 8503010438 |
| Fax: |