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1366921108
JENNIFER JILL BLACKBURN
CHARLOTTE, NC
NPI
1366921108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NC 1-19-38078)
Enumeration Date
2018-08-13
Last Update Date
2019-09-24
Business Address
JENNIFER JILL BLACKBURN M. Ed., BCBA
716 MARSH RD
CHARLOTTE, NC 28209
Phone number: 704-522-9912
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Mailing Address
JENNIFER JILL BLACKBURN M. Ed., BCBA
716 MARSH RD
CHARLOTTE, NC 28209-1851
Phone number: 704-522-9912
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