Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER BLACKMORE
Active Sole ProprietorHEATHER BLACKMORE is a Behavior Technician healthcare provider located in PEARL CITY, Illinois. NPI 1891286472 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PEARL CITY, IL
Registration Details
- NPI Number
- 1891286472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2018 (8.2535046983493 yrs)
- Last Updated
- May 19, 2018
- License
-
17-46456 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8512 W HERSHEY RDPEARL CITY, IL, 610629571Browse IL providers · Browse ZIP 61062
- Phone
- 8152758134
- Primary Specialty
-
Behavior Technician
106S00000X
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.