Individual provider · Type 1 NPI

Stacia Blackmon

Developmental Therapist · Pensacola, FL

NPI number 1447714332 Active

Practice location

3932 N 10th Ave
Pensacola, FL 32503-2807

Call (854) 434-7755 Map

Fax (850) 469-0858

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1447714332

Stacia Blackmon's National Provider Identifier is 1447714332, issued on Jan 25, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pensacola, FL. The record was last updated on Jan 25, 2019.