Blackman, Alexandria Jenice

Blackman, Alexandria Jenice is an individual health care provider with primary practice located at 1922 The Alameda Ste 425 , San Jose CA 95126-1453. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Blackman, Alexandria Jenice can be contacted via phone (866) 523-4268.

Contact Information

Primary practice address
1922 The Alameda Ste 425 San Jose CA 95126-1453
Phone: (866) 523-4268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1326754136
LBN Legal business name Blackman, Alexandria Jenice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2023
Last updated Jan 26th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326754136 NPPES
California Other Y9514882 DRIVER LICENSE

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