Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE BLACKMAN
Active Sole ProprietorSHANE BLACKMAN is a Behavior Technician healthcare provider located in WOODBURY, Minnesota. NPI 1750943528 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · WOODBURY, MN
Registration Details
- NPI Number
- 1750943528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2019 (7.0792183828084 yrs)
- Last Updated
- Jun 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 COMMERCE DRWOODBURY, MN, 551259118Browse MN providers · Browse ZIP 55125
- Phone
- 6127677222
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| TEGHAN ANNE NORMAN | — | 1669015475 |
| CAILANA KADLEC | — | 1174169510 |
| MIKAYLA CONRATH | — | 1316587231 |
| KADY SCHWARTZ | — | 1174153084 |
| RYLEE LEE | — | 1225668858 |
| MICHELLE ANNE KREKELBERG | — | 1255969838 |
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.