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Terence G Blackwell Valid NPI

Individual provider · Behavior Analyst · South River, NJ

NPI
1386973014
Type
Individual (Type 1)
Primary specialty
Behavior Analyst
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103K00000X
License number
1-03-1234 (NJ)
Sex
Male
Sole proprietor
No
Enumerated
2009-12-08
Last updated
2009-12-08
Practice location
277 Main St, 1st Floor
South River, NJ 08882-2042
(732) 254-0300

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