Blackman, Marissa

Blackman, Marissa is an sole proprietor health care provider with primary practice located at 4905 N Union Blvd Ste 200 , Colorado Springs CO 80918-4058. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Blackman, Marissa can be contacted via phone (970) 219-9089.

Contact Information

Primary practice address
4905 N Union Blvd Ste 200 Colorado Springs CO 80918-4058
Phone: (970) 219-9089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Colorado
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205334885
LBN Legal business name Blackman, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2018
Last updated Jan 29th, 2018 - about 8 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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