NPI 1467740779

Karen R Blackburn

Practitioner Developmentally Disabled Services Day Training Agency Fairbanks, AK

Practice location

Address: 909 Cushman St STE 103, Fairbanks, AK 99701-4668
Phone: (907) 456-4620
Fax: (907) 457-6598
Mailing address: 122 1st Ave Suite 201, Fairbanks, AK 99701-4803

Registered specialties (8)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Dance Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225600000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Registry record

NPI: 1467740779
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2011
Record last updated: 10 Jul 2024

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.