Ms Erica Marie Blackbourn, MS, LLP, BCBA is a
Behavior Analyst based in Howell, Michigan. Ms Erica Marie Blackbourn is licensed to practice in * (Not Available) (license number 1-15-19086) and her current practice location is
138 W Highland Rd, Suite 500-600, Howell, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 376-4831.
NPI number for Ms Erica Marie Blackbourn is 1790991073 and her current mailing address is 1864 Genoa Cir, Howell, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790991073.
Healthcare Provider's Profile
| Full Name | Ms Erica Marie Blackbourn |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 138 W Highland Rd, Howell, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790991073
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 09/22/2016
Medical Identifiers
Medical identifiers for Ms Erica Marie Blackbourn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790991073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 6301012909 (Michigan) | Secondary |
| 103K00000X | Behavior Analyst | 1-15-19086 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Erica Marie Blackbourn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Erica Marie Blackbourn, MS, LLP, BCBA
1864 Genoa Cir,
Howell, MI 48843-9218
Ph: () - | Ms Erica Marie Blackbourn, MS, LLP, BCBA
138 W Highland Rd, Suite 500-600,
Howell, MI 48843-2168
Ph: (517) 376-4831 |
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