Blackburn, Timothy

Blackburn, Timothy is an individual health care provider with primary practice located at 377 Shrewsbury St , Worcester MA 01604-1632. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Blackburn, Timothy can be contacted via phone (321) 987-8348.

Contact Information

Primary practice address
377 Shrewsbury St Worcester MA 01604-1632
Phone: (321) 987-8348
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1154850840
LBN Legal business name Blackburn, Timothy
Credentials LABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Jul 21st, 2022 - about 3 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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