Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK BLACKBURN
ActiveDERRICK BLACKBURN is a Day Training/Habilitation healthcare provider located in FAIRBANKS, Alaska. NPI 1104663715 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · FAIRBANKS, AK
Registration Details
- NPI Number
- 1104663715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2024 (2.1167795254284 yrs)
- Last Updated
- Jul 10, 2024
Practice Information
- Address
-
909 CUSHMAN ST STE 103FAIRBANKS, AK, 997014668Browse AK providers · Browse ZIP 99701
- Phone
- 9074564620
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Chore Provider
- Additional Specialty
- Adult Companion
- Additional Specialty
- Day Training/Habilitation
Other Day Training/Habilitation Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| CRISTINA TITUS | — | 1285100065 |
| CHAD DILLON | — | 1073243390 |
| ISAAC LIAM WRIGHT | — | 1548023799 |
| ALEXIS ELIZABETH CLEMENTE | — | 1184488157 |
| RONALD WADE ROBERT | — | 1861250383 |
| TAMERA PARKER | — | 1689411282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.