Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK BLACKMON II
ActiveFREDERICK BLACKMON II is a Behavior Technician healthcare provider located in HOMEWOOD, Illinois. NPI 1558166405 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · HOMEWOOD, IL
Registration Details
- NPI Number
- 1558166405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2025 (1.4638352667691 yrs)
- Last Updated
- Feb 14, 2025
Practice Information
- Address
-
17627 BRIAR AVEHOMEWOOD, IL, 604301006Browse IL providers · Browse ZIP 60430
- Phone
- 7084658060
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in HOMEWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| LESLIE WHITE | — | 1023553880 |
| RASHEEDAH FITZPATRICK | — | 1992499073 |
| EVELINA BURTON | — | 1225807985 |
| BROOKE BURTON | — | 1497524151 |
| MELISSA MATTHEWS | — | 1679342331 |
| BLAIR BURTON | — | 1831968593 |
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.