NPI 1083205017
Stellamarie Blackmore
Practice location
- Address
- 3120 Old Faithful Rd STE 100, Cheyenne, WY 82001-5890
- Phone
- (307) 221-2937
- Mailing address
- 3120 Old Faithful Rd STE 100, Cheyenne, WY 82001
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1083205017
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Feb 2021
- Record last updated
- 2 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.